Becker's Healthcare August 20, 2025
A Texas federal judge dismissed Elevance Health’s lawsuit challenging its 2025 Medicare Advantage star ratings, ruling that the company “has not shown any evidence that CMS acted arbitrarily or capriciously.”
Elevance filed its lawsuit Oct. 31, 2024, alleging that CMS’ star ratings process was “fraught with statistical variance.”
Prior to the filing, on an Oct. 17, 2024, earnings call, Elevance CEO Gail Boudreaux said the company will see fewer members in four-star and higher plans for 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 stars, leading the company to lose out on at...
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