Vori Health Highlights CMS Proposal to Revamp Medicare Advantage Star Ratings

Vori Health has shared an update. The company highlighted a proposed rule from the Centers for Medicare & Medicaid Services (CMS) that would revise how Medicare Advantage Star Ratings are calculated. The proposal calls for removing a dozen quality metrics that largely measure administrative processes with consistently high performance, while adding a new metric focused on depression screening and follow-up to better reflect clinical care and outcomes.

For investors, the proposed changes underscore a continued regulatory push toward outcomes-based and value-focused measures within Medicare Advantage. If finalized, the revised Star Ratings framework could shift incentives and reimbursement patterns for health plans and their clinical partners, increasing demand for solutions that can document and improve measurable clinical outcomes, including behavioral health indicators such as depression. As a virtual-first musculoskeletal and multidisciplinary care provider, Vori Health could benefit if its care model and data capabilities align with the emerging emphasis on clinically meaningful quality metrics. However, the impact will depend on the final form of the rule, how quickly payers adapt, and Vori Health’s ability to demonstrate quantifiable improvements that map directly to Star Ratings measures. The update signals that the company is closely tracking regulatory developments that may influence partner relationships, contract structures, and long-term growth opportunities in the value-based care ecosystem.