Elevance Health sues HHS over Medicare Advantage star ratings

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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