Healthcare Finance News November 6, 2024
Star ratings represent billions of dollars in quality bonus payments. CMS has cost Elevance $375M, the complaint says.
Elevance Health is the latest insurer to sue the Department of Health and Human Services over Medicare Advantage star ratings.
Elevance, with affiliates Community Insurance Company in Ohio and Wellpoint in Texas, filed the lawsuit last week in federal court in the Northern District of Texas.
The company formerly known as Anthem, wants the court to order HHS to recalculate its 3.75 score for a specific contract to a corresponding 4-star rating.
Only seven Medicare Advantage and Part D plans received 5 stars when the Centers for Medicare and Medicaid Services released star ratings in October. This compares to 38 contracts that...
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