Becker's Healthcare December 3, 2024
CMS has updated the star ratings for some UnitedHealthcare and Centene Medicare Advantage contracts following a successful court challenge from UnitedHealthcare.
On Dec. 2, the agency published updated star ratings for 12 UnitedHealthcare and seven Centene Medicare Advantage contracts. Two UnitedHealthcare contracts were upgraded from 4.5 to five stars.
On Nov. 22, a federal judge ruled that CMS must recalculate UnitedHealthcare’s Medicare Advantage star ratings without including a disputed customer service phone call.
UnitedHealthcare filed a lawsuit in September, alleging CMS downgraded its star ratings based on one secret shopper phone call. UnitedHealthcare alleged the call never connected to its call center.
The downgraded ratings cost UnitedHealthcare $190 million in bonus payments, the company alleged.
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