Healthcare Finance News October 21, 2024
Jeff Lagasse

CEO Gail Boudreaux says cut points are a large factor driving the decline of plans rated four stars or higher.

Elevance Health President and CEO Gail Boudreaux said the insurer is “considering all of our options” regarding the Centers for Medicare and Medicaid Services’ 2025 Medicare Advantage Star Ratings, which saw the company take a hit in its star ratings.

Boudreaux said that even though Elevance improved its performance across nearly 60% of star measures for payment year 2026, its lower ratings this year are having a tangible effect.

“Unfortunately, we will see the percentage of our members and plans rated four stars or higher decline due to significantly higher cut points,” said Boudreaux in an earnings call last week....

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Payer
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