Healthcare DIVE November 4, 2024
Emily Olsen

The payer joins several other insurers suing federal regulators over the 2025 quality ratings, which Elevance argues will cost it at least $375 million in bonus payments and rebates.

Dive Brief:

  • Elevance Health is the latest in a parade of insurers suing the HHS over its 2025 Medicare Advantage star ratings.
  • The Indianapolis-based payer filed a suit in a Texas district court last week alleging federal regulators used an “arbitrary and capricious” method to calculate the quality scores, costing Elevance at least $375 million in bonus payments and rebates.
  • The suit follows litigation by other insurers — including Centene, UnitedHealth and Humana — that aim to boost their scores and protect revenue earned in the lucrative MA program.
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Topics: Govt Agencies, HHS, Insurance, Medicare Advantage, Payer
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