Healthcare Finance News October 15, 2025
Court determined CMS did not act unlawfully or exceed its authority in issuing the ratings.
A Texas court on Tuesday struck down Humana’s second lawsuit challenging Medicare Advantage star ratings released by the Centers for Medicare and Medicaid Services.
In its original lawsuit, Humana argued there were potential errors in CMS’ calculations of its results and industry cut points. The company’s reduction in star ratings was driven by narrowly missing higher industry cut points on a small number of measures.
This cost the company more than $1 billion in bonuses that are given to plans that score 4 stars or higher.
In its original lawsuit, Humana said it believes a significant driver of its lower star results was one...
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