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Similarly, as mentioned above, all commenters supported this update to the display page measures to include contracts with 30 or more members in the denominator for the measure rate calculation. We will implement this update to these measures for the 2025 measurement year. Initial Opioid Prescribing for Long Duration (IOP-LD) (Part D). The PQA refined the definition for negative medication history to improve clarity in the 2025 PQA Measure Manual. For a beneficiary to have a negative medication history, there should be no prescription claims for opioids “with a date of service” in the lookback period. CMS does not anticipate this clarification impacting the IOP-LD measure operationally. Therefore, CMS will integrate the revised definition of negative medication history into the IOP-LD measure for the 2025 measurement year (2027 display page). Commenters were supportive of the clarification made to the negative medication history definition, and it will be implemented for the 2025 measurement year. Financial Reasons for Disenrollment (Part C & D). This measure captures a variety of reasons related to the cost or affordability of services for leaving a plan. CMS is considering replacing one general cost-related leave reason (found a plan that costs less) with three more specific cost- related reasons to leave health or drug plans: 1) found a plan with a lower copayment for prescription drugs (MA & PDP); 2) found a plan with a lower copayment for doctors' visits (MA); and 3) found a plan with a lower monthly premium (MA & PDP). The updated measure is currently being tested and will be available for the 2026 Display Page that covers the 2024 measurement year. Most commenters supported this change, noting the new measure will be useful, more accurate, and help MA plans better understand how different types of cost sharing contribute to disenrollment. Section J. Retirement of Display Measures Use of Opioids from Multiple Providers in Persons Without Cancer (OMP) (Part D). The PQA membership voted in favor of retiring the OMP measure for the 2025 measurement year due to low measure rates, resulting in minimal opportunities for improvement. All commenters were supportive of retiring the OMP measure. The OMP measure will be retired starting with the 2025 measurement year. Section K. Potential New Measure Concepts and Methodological Enhancements for Future Years CMS’s process for adding any new measures to the Star Ratings system includes developing and testing new measures, soliciting feedback on potential new measures, submitting the measures for approval under the PRMR process, and undertaking notice and comment rulemaking to propose and finalize new measures. CMS solicited comments on new measure concepts and methodological changes to inform future changes to the Star Ratings, as described in §§ 422.164(c) and 423.184(c).