regulatory
confidence high
sentiment negative
materiality 0.75
Elevance Health expects 2024 Medicare Star ratings drop: 34% in 4+ Star plans, vs 64% in 2023
Elevance Health, Inc.
- Three largest Medicare Advantage contracts (~36% of members) fell to 3.5 Stars from 4 or 4.5 Stars.
- Drop in CAHPS survey measures and new Tukey outlier methodology contributed to rating declines.
- Financial impact from reduced Star bonus payments and rebates will affect 2025, not 2024.
- Investing in service, product, network, and operations; exploring contract diversification to mitigate headwind.
- Some plans retained high ratings: Florida plans got 4.5+ Stars, with two achieving 5 Stars; Puerto Rico plans all 4+ Stars.