Becker's Healthcare January 2, 2025
Rylee Wilson

Florida Blue is the latest insurer to sue CMS over its Medicare Advantage star ratings.

In a lawsuit filed Dec. 27 in federal district court in Washington, D.C., attorneys for Florida Blue argued CMS did not account for the effects of natural disasters when it calculated the insurer’s Medicare Advantage star ratings.

Severe flooding in Broward County, Fla., in April 2023, caused a significant drop in rates of office visits and prescription refills for Florida Blue Medicare Advantage plan members, the insurer said in the lawsuit.

Though Florida Gov. Ron DeSantis and President Joe Biden declared a state of emergency in areas affected by the flooding, CMS did not grant an 1135 waiver, designating a public health...

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Topics: Insurance, Medicare Advantage, Payer
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