Healthcare Finance News October 21, 2024
UnitedHealth has also filed a lawsuit, and Elevance says it is considering its options.
Humana has sued the Centers for Medicare and Medicaid Services over the results of the 2025 Medicare Advantage and Part D Star Ratings.
Humana and nonprofit trade association Americans for Beneficiary Choice filed the complaint on October 18 in federal court in the Northern District of Texas against CMS, the Department of Health and Human Services, HHS Secretary Xavier Becerra and CMS Administrator Chiquita Brooks-LaSure.
The case centers on cut points, the upper and lower thresholds for each measure, which determine a plan’s overall score, from 1-5 stars.
Also, CMS did not follow its own ground rules on decision-making and failed to provide needed data, the...
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