Thoughts on Healthcare Markets & Technology
Thoughts on Healthcare Markets & Technology Podcast
Business plan for an AI-first, VC-backed tech-enabled services company that sells half-stars to Medicare Advantage plans: 2027 Star Ratings math, pharmacy wedge, pricing, margins and risks
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Business plan for an AI-first, VC-backed tech-enabled services company that sells half-stars to Medicare Advantage plans: 2027 Star Ratings math, pharmacy wedge, pricing, margins and risks

The 2027 Medicare Advantage Star Ratings dropped Oct 8. The headline barely moved. Everything underneath it did. A thread on what that means for health plans and the companies that sell them stars.

Of 508 rated contracts, only 188 hit 4 stars or better. That is 37%, down from 44% last year. Five-star contracts fell from 22 to 15. Smaller plans slipped wh…

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