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unitedhealthcare prevails in lawsuit over medicare advantage star ratings

UnitedHealthcare has won a lawsuit against the Centers for Medicare and Medicaid Services (CMS) regarding the calculation of its Medicare Advantage star ratings. A federal court ruled that CMS must recalculate the 2025 star ratings without considering a disputed "secret shopper" call, which UnitedHealth argued unfairly lowered its ratings and could lead to significant financial losses. The case highlights ongoing disputes over star rating assessments, with other companies like Elevance Health and Centene also challenging CMS's methodologies.
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