Becker's Healthcare October 29, 2024
The other day, I had a conversation with a colleague I’ve worked with for years. He’s familiar with my career, and he was utterly surprised when I told him that one of my proudest achievements is the lawsuit that my company, SCAN, filed against the Centers for Medicare and Medicaid Services (CMS) challenging our Medicare Advantage Star rating.
Background
Before the 2024 Star ratings were announced in October of last year, SCAN had received 4-Star ratings or higher nine years in a row. Then, in 2023, CMS changed the methodology it used to calculate the ratings, and SCAN dropped from 4.5 Stars to 3.5 Stars. This single-Star drop translated to $250 million in reduced revenues — money that would...
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