Home Health Care News July 21, 2025
A federal judge has dismissed Humana’s (NYSE: HUM) lawsuit against the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS).
The company filed suit in October 2024, challenging CMS’ Medicare Advantage (MA) quality scores. Humana claimed that the agency acted “arbitrarily and capriciously” in downgrading its ratings, which affect bonus payments and overall revenue. It also described the program’s data and calculations as “dizzyingly complex.”
On July 18, Texas Judge Reed O’Connor determined that Humana’s lawsuit was premature because it had not yet obtained the results of its CMS appeal. CMS reported that Humana’s appeal was denied six months after the company filed its court complaint.
Initially, the insurer asked for...
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