Fierce Healthcare January 5, 2024
Elevance Health and its regional subsidiaries have filed suit against the feds, challenging changes to the methodology for Medicare Advantage star ratings that it calls “unlawful.”
The Centers for Medicare & Medicaid Services rolled out significant changes to the methodology used to calculate the annual star ratings, and several payers saw major declines in their scores for 2024. The star ratings are tied to key bonus payments paid annually by CMS.
Executives at Elevance Health said during the company’s earnings call that the company was preparing for a $500 million hit to bonus payments as a result of declines in its star ratings performance. While it did see subpar performance on consumer surveys, CEO Gail Boudreaux said that Elevance also...
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