HealthLeaders Media March 11, 2024
Marie DeFreitas

The new ratings come after the insurer sued the federal government in January.

KEY TAKEAWAYS

– Elevance sees $190M gain from new star ratings

– The insurer sued HHS back in January over alleged miscalculations in its MA star ratings

– Elevance’s lower ratings would have meant a $500M drop in 2025 revenue

Elevance Health will now have four Medicare Advantage (MA) contracts with higher 2024 ratings after CMS updated the original scores announced in October, according to a regulatory filing.

According to the filing, Elevance estimates that about 49% of its MA members will be enrolled in a plan with at least four stars in 2024. As a result, Elevance will see approximately a $190M payout for 2025.

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