Inspired by Seinfeld's Festivus celebration, our panel will conduct a lighthearted but technically robust airing of grievances related to the Medicare Star Rating program. Over the past decade, the Medicare Star Rating program has undergone an array of methodological changes. Actuaries, quality experts, and policy organizations pontificate frequently about opportunities for Star Rating program changes to more optimally align quality performance with revenue incentives. We will use this interactive session to highlight key methodological challenges and more importantly brainstorm ideas that could drive sustainable, sound incentives and improved health equity. Attendees will come away with an understanding of the history, key methodological challenges and opportunities for the program. We will close out the session with a Star Rating themed take on Feats of Strength—may the best improvement idea win!