MedCity News June 30, 2024
CMS recently announced that it is recalculating Medicare Advantage Star Ratings. It comes after two lawsuits on the issue.
Medicare Advantage insurers secured a major victory this month when the Centers for Medicare and Medicaid Services (CMS) acquiesced and decided to recalculate the Star Ratings it uses to judge the quality of health plans.
The move was perhaps not unexpected given two federal courts ruled that the agency needed to recalculate Star Ratings for both SCAN Health Plan and Elevance Health. Both SCAN and Elevance had sued CMS alleging the agency improperly calculated their Star Ratings for plan year 2024.
“[CMS] took the path of least resistance. … When you lose two lawsuits on the same issue, it would likely...
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