2027 Star Ratings: the national number held at 71%. Your state's did not.

Vlada

2026-10-08 · on LinkedIn ↗

2027 Star Ratings: the national number held at 71%. Your state's did not.

2027 Star Ratings by state: Georgia fell from 79% of members in 4-star plans to 49%. Illinois rose from 49% to 82%.

Nationally the number held at 71%. But stars are set contract by contract, and members live in states, so the national average hides where the bonus actually went. 19 states fell by 2 points or more. 28 rose.

In Georgia, UnitedHealthcare went from 100% of its members in 4-star plans to 30%, and Aetna from 94% to 31%. In Illinois, Humana went from 20% to 100%, and Aetna from 68% to 96%. In Tennessee, BCBS of Tennessee and HCSC both fell to 0%, while Humana went to 100%. Rhode Island fell from 95% to 35%. Montana rose from 20% to 93%.

If you sell, compete or advise in one of these states, your 2028 market just changed. A plan over the line gets bonus dollars to spend on lower premiums and richer extras. A plan under it does not.

The national number is the wrong one to watch this year. Look at your state.

Source
CMS 2027 Star Ratings Data Tables (Oct 8, 2026), CMS 2026 Star Ratings summary (corrected July 22, 2026), CMS Monthly Enrollment by CPSC, September 2026.
Measure
Per state: members (CMS CPSC county enrollment, Sept 2026, state of residence) in contracts whose CMS Overall star is 4.0+, divided by members in rated contracts. 2026 = CMS corrected file (July 22, 2026); 2027 = Oct 8, 2026 release. Same members both years. H and R contracts.