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The Stars environment has changed and so must the strategy. As CMS continues to tighten cut points, redefine measures and raise the bar for quality outcomes and member experience, maintaining 4+ Stars is no longer about incremental gains. It is about sustained transformation. Success belongs to the plans that pair precision analytics with operational discipline and member-focused engagement.
At ProspHire, we help Medicare Advantage organizations move from reactive firefighting to proactive performance, unlocking sustainable improvements across every dimension of Stars.
ProspHire Impact
Star Year 2026 Market Insights
- 40% of H-Contracts earned star ratings above 4.0
- Over 50 contracts experienced a decline in ratings, dropping from above 4.0 to below, between SY25 and SY26
- Approximately 40 contracts saw improved performance, rising to a star rating above 4.0 in SY26
- More than 80 H-contracts saw their Part D ratings fall from above 4.0 to below
Medicare Advantage is undergoing a fundamental reset and Stars strategies and programs need to adapt to that new reality. The things that made programs of the past successful won’t yield positive results in today’s changing environment. Plans are balancing evolving regulatory changes, shrinking budgets and member populations with increasingly complex needs. Amid this challenge lies opportunity. With the right structure, data and alignment, your Stars program can become a true driver of quality, retention and growth.
ProspHire’s Approach
At ProspHire, we partner with health plans to design and execute Stars strategies built for your members in today’s environment: measure specific, data-driven and member-centric. Our comprehensive portfolio of Stars services address both immediate recovery needs and long-term transformation:
Delivering Results. Period.
Whether your goal is to become a 4 Star contract or build your roadmap toward 5 Stars, ProspHire brings the precision, partnership and proven results you need to perform.
