Healthcare DIVE January 8, 2024
The payer is taking issue with how regulators calculated quality scores for 2024, after seeing a stars decline that could cause its bonus revenue to fall by $500 million.
Dive Brief:
- Elevance Health is suing the federal government over changes to how regulators calculate Medicare Advantage star ratings that are set to cost the insurer hundreds of millions of dollars in quality bonus revenue.
- The CMS implemented a controversial change to how it calculates MA stars, a key measure of plan quality that determines payer bonuses, for 2024. As a result, stars for some insurers — including Elevance — plummeted.
- Elevance and its regional subsidiaries slammed the changes as illegal in the suit, which was filed late December in...
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