| 1 | Health equity index High market impact Replaces the current reward factor with a health equity index reward for contracts that have enough concentration of and improve care for enrollees with social risk factors1 |
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| 2 | Measure re-weighting High market impact Reduces weight of patient experience and access measures following increases in CAHPS importance |
| 3 | Measure changes Moderate market impact Which CMS institutes regularly, include retirements, additions, and substantive changes. One of the more notable proposed changes was a significant broadening of medication therapy management eligibility criteria, which has not been finalized |
| 4 | Extreme and uncontrollable circumstances Low market impact Eliminates the 60% rule, which was suspended during the pandemic. This may impact states with frequent uncontrollable events such as hurricanes and fires |
| 5 | Improvement measure modification High market impact Would modify improvement measure hold harmless provision to only apply to contracts with 5 stars if finalized, requiring 4- and 4.5-star contracts to focus on improvement |
| 6 | Measure cut point guardrails Moderate market impact Would remove bidirectional caps — guardrails — that restrict the maximum allowable movement of non-CAHPs measure cut points if finalized |
