Healthcare DIVE October 4, 2024
Rebecca Pifer

A handful of plans owned by the nation’s largest MA payer are the latest to ask the court to help raise their valuable quality scores.

Dive Brief:

  • A group of UnitedHealth subsidiaries sued the Biden administration on Monday, arguing regulators unfairly dinged their Medicare Advantage quality or “star” ratings over one customer support phone call.
  • The complaint filed in a Texas district court by UnitedHealth MA plans in a variety of states accused the CMS of downgrading their stars based on an “arbitrary,” “capricious” and “unlawful” assessment of how a joint call center handled a single call that lasted less than 10 minutes. The plans allege they could lose millions of dollars if customers depart due to the lower...

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