August 15, 2025
CMS Seeks Comments: Proposed Changes to the Overall Hospital Star Rating System, Comment by September 15
Published in the CY2026 Medicare Outpatient Prospective Payment System (OPPS) Proposed Rule, the Centers for Medicare & Medicaid Services (CMS) requests feedback on their proposal to update how they calculate the Overall Hospital Quality Star Rating, which summarizes a variety of quality measures across five areas into a single star rating for each hospital.
The five areas of quality are Safety of Care, Mortality, Readmission, Patient Experience, and Timely and Effective Care. CMS proposed to emphasize the contribution of the Safety of Care measure group in hospitals; ratings by limiting the total number of stars that hospitals with the lowest Safety of Care scores can earn.
They also propose that this change, if finalized, would only apply to hospitals and Critical Access Hospitals with at least 3 Safety of Care measures. CMS estimates that about 830 rural hospitals with star ratings had at least 3 Safety of Care measures in 2024.
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