Medicare Advantage plans with ratings of 4 stars or higher are eligible for quality bonus payments, which plan administrators can, but are not required to, use to lower costs or provide additional benefits to plan participants. The CMS is expected to distribute $12.7 billion in bonus payments to Medicare Advantage plans in 2025, according to a Kaiser Family Foundation analysis. Medicare Advantage—Medicare coverage administered by private health insurers rather than the federal government—has been a major re ...