Healthcare DIVE June 14, 2024
The redo comes after regulators lost two court cases over the methodology used to determine 2024’s quality ratings.
Dive Brief:
- The CMS has recalculated plans’ quality ratings in the Medicare Advantage program after a series of court rulings challenging the agency’s methodology in determining scores for 2024.
- The redo will result in hundreds of millions in additional taxpayer dollars going to insurers next year, even as regulators try to get a handle on runaway spending in the privately-run Medicare program.
- Regulators will recalculate each plans’ star ratings, but only officially apply them if their stars improve, the CMS wrote in a memo to plans on Thursday. Plans with ratings that would fall under the new methodology won’t see their...
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