Healthcare DIVE November 25, 2024
A Texas federal judge has sided with UnitedHealthcare in determining regulators messed up calculating its Medicare Advantage quality scores for next year.
Dive Brief:
- A federal judge has ordered the CMS to immediately recalculate UnitedHealthcare’s Medicare Advantage star ratings for 2025 in a major win for the health insurer — and potentially the MA sector as a whole.
- Early last month, a group of UnitedHealth plans sued the agency, alleging that regulators unfairly lowered their quality ratings over a single phone call to their joint customer support center. Now, the CMS must rerun and republish the ratings — without including the disputed call, which could boost UnitedHealthcare’s MA earnings by millions of dollars.
- The judge’s opinion on Friday wasn’t...
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