PDP Members Flock to Large Plans in 3.5-Star ‘Sweet Spot’ With Chart: Average PDP Star Rating Gets Minuscule Bump

Based on current enrollment figures, virtually every Medicare beneficiary who signs up for a stand-alone Prescription Drug Plan (PDP) in 2021 will be enrolled in a plan rated 3.5 stars or higher, CMS estimated recently. However, only 17% of beneficiaries are in plans with 4 or more stars for 2021.

That dynamic is unlikely to shift unless CMS opts to pay PDPs bonuses for higher star ratings, an idea that hasn’t been discussed seriously by policymakers in recent years, industry insiders say.

© 2023 MMIT
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