联邦医保局公布2027年医保优势与D部分星级评定：约37%的医保优势处方药计划获四星以上
美国联邦医疗保险与医疗补助服务中心（CMS）公布2027年 Medicare Advantage（医保优势，Part C）与 Part D 处方药计划星级评定，评定结果已刊登在 Medicare Plan Finder 上，供10月15日至12月7日的2027年开放注册期使用，并将影响2028年医保优势计划的质量奖金支付。
数据显示，2027年将提供的医保优势处方药计划（MA-PD）合同中，约37%、共188份合同获得四星或以上评级；按参保人数加权计算，目前约71%的 MA-PD 参保人所在的合同在2027年为四星或以上。共有15份 MA-PD 合同获得五星、被标为高绩效；另有4份合同因持续低评级被标为低绩效。独立 Part D 处方药计划中，约27%、共11份合同获四星或以上，按参保人数加权约占22%，高于2026年的2%。
2027年评定新增两项指标：阿片类药物与苯二氮卓类药物并用、老年患者多种抗胆碱能药物并用；身体健康与心理健康改善或维持两项指标的权重由一提高到三。医保优势处方药计划合同最多按43项质量与绩效指标评定，独立处方药计划最多按13项指标评定。
CMS Releases 2027 Medicare Advantage and Part D Star Ratings: About 37 Percent of MA-PD Contracts Earn Four Stars or Higher
The Centers for Medicare & Medicaid Services (CMS) has released the 2027 Star Ratings for Medicare Advantage (Part C) and Part D prescription drug plans. The ratings are published on Medicare Plan Finder for the 2027 open enrollment period, which runs from October 15 through December 7, 2026, and will affect 2028 Medicare Advantage quality bonus payments.
According to CMS, approximately 37 percent of Medicare Advantage Prescription Drug (MA-PD) contracts to be offered in 2027, a total of 188 contracts, earned four stars or higher. Weighted by enrollment, about 71 percent of MA-PD enrollees are currently in contracts that will have four or more stars in 2027. Fifteen MA-PD contracts earned five stars and carry the high-performing icon, while four contracts were identified as consistently low performers. Among stand-alone Part D plans, about 27 percent, or 11 contracts, received four or more stars, covering about 22 percent of enrollees weighted by enrollment, up from 2 percent in 2026.
CMS added two measures for 2027, covering concurrent use of opioids and benzodiazepines and use of multiple anticholinergic medications in older adults, and raised the weight of the measures on improving or maintaining physical and mental health from one to three. MA-PD contracts are rated on up to 43 quality and performance measures, and stand-alone Part D contracts on up to 13.
来源：GSM·美国（原文链接）
图片来源：图：美国新版 Medicare 医保卡样本。图片：公共领域，经 Wikimedia Commons。 / Sample of the U.S. Medicare card. Image: public domain, via Wikimedia Commons.
