{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T17:20:33Z","timestamp":1788283233275,"version":"build-2803163510"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["JASN"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      The Centers for Medicare &amp; Medicaid Services uses the Star quality program to evaluate Medicare Advantage (Medicare Part C) care quality. Since the 21st Century Cures Act, ESRD enrollment within Medicare has shifted from &lt;30% in 2021 with Medicare Advantage to more than 50% in 2024. Given this influx and growing CKD prevalence, evaluating how Stars measures shape kidney care has significant population health implications. The American Society of Nephrology Quality Committee convened a working group to assess the 2026 Medicare Part C and D Stars quality measures. Measures were reviewed using a modified American College of Physicians Measure Review Criteria, which evaluates measure importance, appropriateness, evidence base, specifications, and feasibility, and Stars measures evaluating nonclinical outcomes were excluded (\n                      <jats:italic toggle=\"yes\">e.g<\/jats:italic>\n                      ., customer service). The American Society of Nephrology committee evaluated 25 (of 45) Star quality measures that were directly related to clinical outcomes. The committee assessment identified 13 high-validity Star measures that monitored care related to diabetes, hypertension, and care transitions, as well as 12 medium-validity measures that evaluated preventive care and other chronic care areas. The appropriateness and clinical evidence base of Star measures were generally strong but weaker in patients with kidney failure. The committee noted concerns with ten Stars measures that may exclude patients with kidney failure. Only one measure captured guideline-directed kidney care (albuminuria screening in patients with diabetes). No Stars measures captured other guideline-directed recommendations, such as CKD screening and risk stratification, nephrology referral, use of kidney pharmacotherapies, CKD education, or preemptive kidney transplantation referral. The Medicare 2026 Part C and D Stars measures represent a missed opportunity to align care measures and guideline-directed kidney care to improve outcomes, reduce costs, and advance high-value care for the millions of Americans living with kidney disease.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1681\/asn.0000001200","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T17:00:20Z","timestamp":1783616420000},"page":"2065-2073","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of Medicare Advantage Stars Measures"],"prefix":"10.1681","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3231-6758","authenticated-orcid":false,"given":"Dustin","family":"Le","sequence":"first","affiliation":[{"name":"Division of Nephrology, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8903-5871","authenticated-orcid":false,"given":"Lauren","family":"Ahearn","sequence":"additional","affiliation":[{"name":"Policy and Government Affairs, American Society of Nephrology, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4831-0692","authenticated-orcid":false,"given":"Adam S.","family":"Wilk","sequence":"additional","affiliation":[{"name":"Division of Transplantation, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana"},{"name":"Regenstrief Institute, Indianapolis, Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6896-6889","authenticated-orcid":false,"given":"Suneel","family":"Udani","sequence":"additional","affiliation":[{"name":"Nephrology Associates of Northern Illinois and Indiana, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3057-4828","authenticated-orcid":false,"given":"Rasheeda","family":"Hall","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine, Duke University School of Medicine Durham, Durham, North Carolina"},{"name":"Renal Section, Durham Veterans Affairs Healthcare System, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7782-1160","authenticated-orcid":false,"given":"Osama","family":"El Shamy","sequence":"additional","affiliation":[{"name":"Renal, Electrolyte, and Hypertension Division, Hospital of the University of Pennsylvania, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Bieber","sequence":"additional","affiliation":[{"name":"Kidney and Hypertension Services, Kootenai Clinic Nephrology, Coeur d\u2019Alene, Idaho"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9912-5684","authenticated-orcid":false,"given":"Lilia","family":"Cervantes","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Colorado, Aurora, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4515-1964","authenticated-orcid":false,"given":"Chang Huei","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Colorado, Aurora, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7544-5843","authenticated-orcid":false,"given":"Edward","family":"Gould","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Vanderbilt University Medical Center, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Jain","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine, University of Alabama in Birmingham, Birmingham, Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6669-7523","authenticated-orcid":false,"given":"Abhijit V.","family":"Kshirsagar","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Hypertension, Department of Medicine, UNC School of Medicine, University of North Carolina (UNC) Kidney Center, Chapel Hill, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3118-1073","authenticated-orcid":false,"given":"Wei Ling","family":"Lau","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine, University of California-Irvine, Irvine, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5305-9685","authenticated-orcid":false,"given":"Sumit","family":"Mohan","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine, Columbia University Medical Center, New York, New York"},{"name":"Columbia University Renal Epidemiology Group, New York, New York"},{"name":"Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2769-6469","authenticated-orcid":false,"given":"Matthew B.","family":"Rivara","sequence":"additional","affiliation":[{"name":"Division of Nephrology, University of Washington, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9119-655X","authenticated-orcid":false,"given":"Vikram","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"Northwestern Memorial HealthCare Chicago, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6513-8460","authenticated-orcid":false,"given":"Sri Lekha","family":"Tummalapalli","sequence":"additional","affiliation":[{"name":"Weill Cornell Medicine, New York, New York"},{"name":"Rogosin Institute, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9460-3176","authenticated-orcid":false,"given":"Patricia","family":"Seo-Mayer","sequence":"additional","affiliation":[{"name":"Inova Fairfax Hospital, Falls Church, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mallika L.","family":"Mendu","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Harvard Medical School, Population Health Services Organization, Mass General Brigham, Boston, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the American Society of Nephrology Quality Committee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"issue":"12","key":"B1-20260901","doi-asserted-by":"crossref","first-page":"3702","DOI":"10.1007\/s11606-019-05327-6","article-title":"An overview of Medicare for clinicians","volume":"35","author":"El-Nahal","year":"2020","journal-title":"J Gen Intern Med."},{"issue":"6","key":"B2-20260901","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1377\/hlthaff.2020.02149","article-title":"Comparing Medicare Advantage and traditional Medicare: a systematic review","volume":"40","author":"Agarwal","year":"2021","journal-title":"Health Aff (Millwood)."},{"issue":"3","key":"B3-20260901","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1111\/1475-6773.14089","article-title":"Effects of Medicare Advantage on preventive care use and health behavior","volume":"58","author":"Park","year":"2023","journal-title":"Health Serv Res."},{"issue":"3","key":"B4-20260901","doi-asserted-by":"crossref","first-page":"e240028","DOI":"10.1001\/jamahealthforum.2024.0028","article-title":"Coverage denials in Medicare Advantage\u2014balancing access and efficiency","volume":"5","author":"Gondi","year":"2024","journal-title":"JAMA Health Forum."},{"issue":"3","key":"B5-20260901","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1377\/hlthaff.2023.00803","article-title":"Primary care physicians in Medicare Advantage were less costly, provided similar quality versus regional average","volume":"43","author":"Politzer","year":"2024","journal-title":"Health Aff (Millwood)."},{"issue":"3","key":"B8-20260901","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1001\/jama.2012.173925","article-title":"Association between Medicare Advantage plan star ratings and enrollment","volume":"309","author":"Reid","year":"2013","journal-title":"JAMA."},{"issue":"6S1","key":"B10-20260901","doi-asserted-by":"crossref","first-page":"A8","DOI":"10.1053\/j.ajkd.2025.02.602","article-title":"US Renal Data System 2024 annual data report: epidemiology of kidney disease in the United States","volume":"85","author":"Johansen","year":"2025","journal-title":"Am J Kidney Dis."},{"issue":"6","key":"B13-20260901","doi-asserted-by":"crossref","first-page":"e210793","DOI":"10.1001\/jamahealthforum.2021.0793","article-title":"Association of Medicare Advantage star ratings with racial, ethnic, and socioeconomic disparities in quality of care","volume":"2","author":"Meyers","year":"2021","journal-title":"JAMA Health Forum."},{"issue":"1","key":"B14-20260901","doi-asserted-by":"crossref","first-page":"e244802","DOI":"10.1001\/jamahealthforum.2024.4802","article-title":"Flaws in the Medicare Advantage star ratings","volume":"6","author":"Meyers","year":"2025","journal-title":"JAMA Health Forum."},{"issue":"3","key":"B17-20260901","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1681\/ASN.2019090869","article-title":"Measuring quality in kidney care: an evaluation of existing quality metrics and approach to facilitating improvements in care delivery","volume":"31","author":"Mendu","year":"2020","journal-title":"J Am Soc Nephrol."},{"issue":"12","key":"B18-20260901","doi-asserted-by":"crossref","first-page":"3075","DOI":"10.2337\/dci22-0027","article-title":"Diabetes management in chronic kidney disease: a consensus report by the American Diabetes Association (ADA) and Kidney Disease: Improving Global Outcomes (KDIGO)","volume":"45","author":"de Boer","year":"2022","journal-title":"Diabetes Care."},{"key":"B19-20260901","doi-asserted-by":"crossref","first-page":"729","DOI":"10.3389\/fphar.2020.00729","article-title":"Taking a step further in identifying ideal blood pressure range among hemodialysis patients: a systematic review and a meta-analysis","volume":"11","author":"Aftab","year":"2020","journal-title":"Front Pharmacol."},{"issue":"14","key":"B20-20260901","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.1056\/NEJMoa0810177","article-title":"Rosuvastatin and cardiovascular events in patients undergoing hemodialysis","volume":"360","author":"Fellstr\u00f6m","year":"2009","journal-title":"N Engl J Med."},{"issue":"3","key":"B21-20260901","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1056\/NEJMoa043545","article-title":"Atorvastatin in patients with type 2 diabetes mellitus undergoing hemodialysis","volume":"353","author":"Wanner","year":"2005","journal-title":"N Engl J Med."},{"issue":"3","key":"B23-20260901","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1053\/j.ajkd.2021.06.031","article-title":"Diagnosis and management of osteoporosis in advanced kidney disease: a review","volume":"79","author":"Ginsberg","year":"2022","journal-title":"Am J Kidney Dis."},{"issue":"4","key":"B24-20260901","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1001\/jama.291.4.451","article-title":"Association between cholesterol level and mortality in dialysis patients: role of inflammation and malnutrition","volume":"291","author":"Liu","year":"2004","journal-title":"JAMA."},{"issue":"4S","key":"B25-20260901","first-page":"S117","article-title":"KDIGO 2024 clinical practice guideline for the evaluation and management of chronic kidney disease","volume":"105","year":"2024","journal-title":"Kidney Int."},{"issue":"2","key":"B26-20260901","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.ekir.2016.09.062","article-title":"Timely referral to outpatient nephrology care slows progression and reduces treatment costs of chronic kidney diseases","volume":"2","author":"Lonnemann","year":"2017","journal-title":"Kidney Int Rep."},{"issue":"11","key":"B27-20260901","doi-asserted-by":"crossref","first-page":"e243892","DOI":"10.1001\/jamahealthforum.2024.3892","article-title":"When to start population-wide screening for chronic kidney disease: a cost-effectiveness analysis","volume":"5","author":"Cusick","year":"2024","journal-title":"JAMA Health Forum."},{"issue":"6","key":"B28-20260901","doi-asserted-by":"crossref","first-page":"788","DOI":"10.7326\/M22-3228","article-title":"Population-wide screening for chronic kidney disease: a cost-effectiveness analysis","volume":"176","author":"Cusick","year":"2023","journal-title":"Ann Intern Med."},{"issue":"3","key":"B30-20260901","doi-asserted-by":"crossref","first-page":"32","DOI":"10.3390\/kidneydial5030032","article-title":"Advanced chronic kidney disease and patient education","volume":"5","author":"Faldu","year":"2025","journal-title":"Kidney Dial."},{"issue":"7","key":"B31-20260901","doi-asserted-by":"crossref","first-page":"e2223325","DOI":"10.1001\/jamanetworkopen.2022.23325","article-title":"Comparing the net benefits of adult deceased donor kidney transplantation for a patient on the preemptive waiting list vs a patient receiving dialysis","volume":"5","author":"Kiberd","year":"2022","journal-title":"JAMA Netw Open."},{"issue":"2","key":"B32-20260901","doi-asserted-by":"crossref","first-page":"282","DOI":"10.2215\/CJN.04690417","article-title":"Standardized transplantation referral ratio to assess performance of transplant referral among dialysis facilities","volume":"13","author":"Paul","year":"2018","journal-title":"Clin J Am Soc Nephrol."}],"container-title":["Journal of the American Society of Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1681\/ASN.0000001200","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T17:01:27Z","timestamp":1788282087000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1681\/ASN.0000001200"}},"subtitle":["Impact on Kidney Care Quality and Future Opportunities"],"short-title":[],"issued":{"date-parts":[[2026,7,9]]},"references-count":23,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1681\/asn.0000001200","relation":{},"ISSN":["1046-6673","1533-3450"],"issn-type":[{"value":"1046-6673","type":"print"},{"value":"1533-3450","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,9]]}}}