The 2026 Medicare Advantage and Part D Star Ratings are out—and they reveal more than just who earned 5 stars. Beneath the numbers lies a clear message: CMS is reshaping what quality means, shifting the balance from member satisfaction to measurable outcomes and data precision. Plans that once thrived on experience scores are now facing tougher cut points, new ECDS-only measures, and the rise of HOS as a major performance driver. 

This episode unpacks what changed, why it matters, and what payers must do now to avoid being left behind. Listen to uncover the real story behind the 2026 Star Ratings—and what it signals for 2027 and beyond.

About Our Guest: 

Shelby Jansen, Manager of Quality, Stars and Strategy, RHIA. Shelby has deep expertise in guiding payer quality strategies to meet CMS expectations, reflecting NCQA updates, optimizing Stars and HEDIS programs, and guiding health plans through digital transformation.