Four-star review The star ratingsare largely new to the federal exchanges, which operate in 39states. (Image: Shutterstock)

ST. LOUIS — As millions of Americans shop for individual healthinsurance for 2020, they will see federal ratings comparing the qualityof health plans on the Affordable Care Act's insurancemarketplaces.

But Christina Rinehart of Moberly, Mo., who has bought coverageon the federal insurance exchange for several years, won't beswayed by the new five-star rating system.

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