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unitedhealthcare wins lawsuit requiring cms to recalculate 2025 star ratings

UnitedHealthcare won a lawsuit against the Centers for Medicare and Medicaid Services (CMS), which requires the agency to recalculate the insurer's star ratings for 2025. A federal judge ruled that CMS violated the Administrative Procedure Act by incorrectly marking a test call as unsuccessful, impacting the ratings significantly. This decision could lead to increased quality bonus payments for UnitedHealthcare in 2026, as star ratings are crucial for enrollment and funding.
Fierce Healthcare
Blue Cross Blue Shield of Louisiana Humana UnitedHealthcare Centene USA Show more
Regulatory & Legal, News Article
22:25 25.11.2024
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