Becker's Healthcare November 1, 2024
Elevance Health is the latest insurer challenging CMS’ star ratings.
In a lawsuit filed in federal court Oct. 31, the insurer alleged CMS’ star ratings process was “fraught with statistical variance.”
On an Oct. 17 earnings call, Elevance Health CEO Gail Boudreaux said the company will see the number of members in plans rated four stars or higher decline in 2025, due to one of its larger contracts missing a four-star rating by 0.0004 of a point.
In the lawsuit, Elevance Health said its overall score for one of its contracts was 3.749565. CMS chose to round star ratings to the millionth, or sixth decimal place, a decision Elevance called “arbitrary and capricious.”
Plans must receive...
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