CMS has provided an update on vision for developing a star rating system for Medicare-Medicaid Plans (MMPs). While CMS does not expect to have the full star rating system in place during the testing of the previously-announced Financial Alignment Initiative, the rating system could potentially serve as a basis for quality-based payments for plans in the future. In the meantime, CMS’s quality rating strategy document explains how the agency proposes to provide the public with information on MMP performance during the interim period. CMS is soliciting public comment on both its vision for an MMP star rating system and its proposal for interim quality reporting; comments are due December 21, 2015.