Sachin H. Jain: Unpacking the impact of Medicare STAR ratings on healthcare
Sachin H. Jain, President and CEO of SCAN Group and Health Plan, shared a post on LinkedIn:
“The recently announced 2025 Medicare STAR ratings shook the public markets and may have even prompted major leadership changes in the managed care industry.
Every day, a new plan appears to be suing the Centers for Medicare & Medicaid Services in federal court.
And annual enrollment where STAR ratings (presumably) should shape sales and marketing behavior is in full swing.
So what’s all the fuss about?
On the surface, it’s about plan quality.
But it is so much more.
Including how much plans get paid.
In my latest Forbes blog, ‘Trick or Treat: Medicare Advantage STAR Ratings,’ I delve deep into why STAR ratings matter and how plans navigate an increasingly complex terrain.
I demystify:
- how plan payment varies by STAR ratings
- how STAR ratings influence a plan’s ability to sell
- how plans exploit loopholes to manipulate their STAR ratings
- the origins of the legal strategy being employed to challenge 2024–2025 STAR ratings
Sachin H. Jain is the President and CEO of SCAN Group and Health Plan and an Adjunct Professor of Medicine at Stanford University School of Medicine. He also serves as a Board Member at The Paul & Daisy Soros Fellowships for New Americans, an Academic Hospitalist (WOC) at the U.S. Department of Veterans Affairs, and a Board Member at America’s Health Insurance Plans (AHIP). He is also a board member of Omada Health.
-
ESMO 2024 Congress
September 13-17, 2024
-
ASCO Annual Meeting
May 30 - June 4, 2024
-
Yvonne Award 2024
May 31, 2024
-
OncoThon 2024, Online
Feb. 15, 2024
-
Global Summit on War & Cancer 2023, Online
Dec. 14-16, 2023