The Centers for Medicare & Medicaid Services has asked Medicare Advantage and prescription drug plans for comments about possible changes to its star rating methodology, including adding new measures, such as for quality improvement. CMS in a memorandum said it was sending out the planned methodology early to receive input prior to the April 2012 issuance of the 2013 Call Letter to plans. Under the star rating system, CMS grades plans on a scale of one to five and posts the ratings on the Medicare website for beneficiaries interested in enrolling.