CMS posted potential changes to the Hospital Star Ratings for public comment. These changes under consideration, intended to respond to stakeholder feedback, seek to enhance the Star Ratings methodology by making hospital comparisons more precise and consistent, and by allowing more direct, “like-to-like” comparisons. One potential change, recommended by some hospitals, would place hospitals with similar characteristics into “peer groups” allowing, for example, small hospitals to be compared to other small hospitals instead of all hospitals. CMS developed these potential changes with feedback from hospitals and other stakeholders through a series of listening sessions and by considering input from a technical expert panel. Public comments on the potential changes are due March 29, 2019.