Healthcare Finance News June 12, 2024
CMS has been ordered to redetermine the star ratings, which Elevance says should be higher.
Elevance is the second health insurer to win a case against the federal government over Medicare Advantage payments.
On June 7, United States District Court Judge Randolph Moss for the District of Columbia, granted in part and denied in part Elevance’s motion for summary judgment and denied the Department of Health and Human Services’ cross motion for summary judgment.
The bottom line is that the 2024 Medicare Star Ratings for Blue Cross Blue Shield of Georgia are set aside and the Centers for Medicare and Medicaid Services is ordered to redetermine those ratings in a manner consistent with the ruling.
The plan is expected...
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