Overview
- CVS Health’s Aetna leads with about 81% of members in 4- or 5‑star plans, followed by UnitedHealthcare at roughly 78%, Elevance near 55% and Humana around 20%, according to companies and CMS data.
- Elevance recorded one of the biggest gains year over year, while UnitedHealthcare was roughly flat, Aetna declined from 2025 levels, and Humana’s share of members in highly rated plans fell.
- Weighted average star scores ticked up to an estimated 3.98 from 3.96, according to TD Cowen, even as higher thresholds made top ratings harder to achieve.
- Oppenheimer estimates 64% of people in Medicare Advantage plans with drug coverage are enrolled in contracts rated four or five stars for 2026.
- Clover Health’s largest contract dropped below 4 stars, which analysts said could cost the insurer tens of millions of dollars, while Centene lifted members in highly rated plans from about 1% to more than 11%.