Becker's Healthcare June 13, 2024
CMS will recalculate star ratings for Medicare Advantage plans after insurers challenging the agency’s methodology were handed court victories, sources told the The Wall Street Journal.
On June 3, a judge ruled in favor of SCAN Health Plan, which sued over the agency’s star ratings methodology. Days later, a judge handed Elevance Health a partial victory in a similar case.
The impact of the recalculation will vary by plan, the Journal reported, but sources told the news outlet they expect the redo will raise the agency’s bonus payments overall.
Plans must achieve a star rating of four or higher to receive...
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