Centene sues CMS over Medicare Advantage star ratings

Healthcare Finance News October 24, 2024
Susan Morse

The star rating drop will cause Centene to lose an estimated $73M in gross revenue, lawsuit says.

Centene has joined the list of insurers that are suing the Centers for Medicare and Medicaid Services over the 2025 Medicare Advantage Star Ratings.

Centene of Missouri and 10 affiliated plans such as Meridian Health Plan of Michigan and several Wellcare plans filed the lawsuit Tuesday in federal court in Missouri.

WHY THIS MATTERS

Centene is suing over one of the measures used by CMS to calculate star ratings, the success rate of calls that CMS interviewers, called secret shoppers, make to the plan through text-to-voice teletypewriter (TTY) services. Secret Shoppers use internet protocol enabled text-to-voice-teletypewriter services (IPTTY) to make these calls. A...

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