Aetna Reports 69% of Medicare Advantage Members in Top-Rated Plans
More than 69% of Aetna's Medicare Advantage members are enrolled in plans rated 4 stars or higher by CMS for 2027.
Aetna, a CVS Health company, announced Thursday that more than 69 percent of its Medicare Advantage members are enrolled in plans carrying a 4-star or higher rating from the Centers for Medicare & Medicaid Services for the 2027 plan year, according to a company release issued from Hartford, Conn.
The CMS star ratings system, scored on a scale of 1 to 5, serves as a primary benchmark for evaluating Medicare Advantage and Part D prescription drug plans on measures that include clinical quality outcomes and member experience. Higher-rated plans typically qualify for bonus payments from the federal government, which insurers can use to fund additional benefits for enrollees.
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Aetna's performance comes amid intensifying scrutiny of Medicare Advantage insurers by regulators and lawmakers, who have raised concerns about prior authorization practices and coverage denials across the industry. Strong star ratings can carry significant financial and competitive weight, influencing both federal reimbursements and consumer plan selection during open enrollment periods.
As a subsidiary of CVS Health, traded on the New York Stock Exchange under the ticker CVS, Aetna operates one of the largest Medicare Advantage networks in the United States. The 2027 ratings announced by CMS will take effect for the upcoming plan year, shaping enrollment decisions for millions of Medicare-eligible beneficiaries.
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