Stars & performance

Where should we improve?

Where carrier ratings are moving, which measures are pulling them down, and what the 2027 cycle changes. Observations only: this section does not assign causes the data cannot show.

What the Stars data shows

What we can see. Carrier rating trajectories from the 2026 Star Ratings (published October 2025) and measure-level movement for the largest carriers across the 2022–2026 rating years.

Why it matters. Ratings drive quality bonus payments, rebates and the 5-star special enrollment period, so a measure that slips moves revenue and marketing rights a year later.

What to investigate next. Find the measures behind a carrier’s movement, then check whether the same measures are moving for competitors in your markets.

Start here

  1. Star movement by carrierWhich carriers are gaining or losing stars, since 2023
  2. Measure-level erosionWhich measures are dragging carrier ratings down
  3. 2027 cutpointsWeekly brief, September 7-13: half of the 2027 cutpoints got harder
  4. Stars in the battlecardsHow ratings show up in competitive selling
  5. Policy impactQuality bonus and rating rules in the policy calendar
What these numbers are. Carrier-level averages on this site are derived by MedicareInsights from contract ratings (weighted as stated on each page); they are not ratings published by CMS. Measure-level views cover the top carriers only. CMS publishes the 2027 Star Ratings in the fall of 2026; this section moves to them once they are ingested, and a full contract-level Stars ingest is on the roadmap.