Becker's Healthcare March 27, 2024
Rylee Wilson

A Medicare Advantage insurer facing termination of one of its contracts from the program is suing CMS over the methodology it uses to calculate star ratings.

Chicago-based Zing Health filed a lawsuit against HHS and CMS in federal court in Washington, D.C., on March 25. In its complaint, the company alleged CMS made a “serious error” in calculating its star rating for 2024.

In December, CMS informed Zing Health that it would terminate one of its contracts for a Medicare Advantage Part D plan at the end of 2024. Zing Health breached its obligation to maintain a three-star or higher rating for that contract three years in a row, the agency said in a Dec. 27 notice.

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Topics: CMS, Govt Agencies, HHS, Insurance, Medicare Advantage
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