2025 Health Plan Ratings Are Out — Is Your Stars Strategy Ready?
- Candice Williams
- Sep 19
- 2 min read
NCQA just released its 2025 Health Plan Ratings, and the results send a clear message: success in today’s Medicare Advantage and commercial markets isn’t just about benefits and networks anymore. Quality, equity, and member experience are increasingly the differentiators that separate 5-Star performers from the rest of the field.
Why does this matter? These ratings influence member choice, drive CMS oversight, and shape competitive positioning in crowded markets. Plans that lag risk more than reputational damage — lower Stars can mean financial penalties and missed growth opportunities.
• Kaiser Permanente continues to lead, with top scores across multiple states.
• HealthPartners and UPMC Health Plan also earned recognition for quality and member satisfaction.
• New emphasis is being placed on health equity, behavioral health, and patient experience — areas where gaps can quickly impact overall performance.
At Rebellis Group, we work with health plans to not only respond to these shifts, but to turn them into opportunity. Our team — comprised of former plan leaders, compliance experts, and regulatory strategists — partners with clients to:
Elevate Stars and HEDIS performance with data-driven strategies.
Improve CAHPS and member experience scores by addressing root causes, not just symptoms.
Align with evolving CMS and NCQA expectations around equity, transparency, and accountability.
Stars ratings may look backward, but the work to improve happens now. 2026 performance will be shaped by the steps plans take in 2025.
Whether your goal is to sustain a 5-Star rating or to climb the ladder, Rebellis is here to help you chart a clear, practical and proven path forward.
Let’s talk about how we can strengthen your Stars strategy — and help your plan thrive in 2025 and beyond.