Humana has filed a lawsuit against the Centers for Medicare and Medicaid Services (CMS) over the 2025 Medicare Advantage and Part D Star Ratings, claiming the agency did not adhere to its own rules and failed to provide necessary data. The complaint highlights significant changes in cut points that drastically reduced Humana's star ratings, impacting the quality bonus payments essential for lowering costs or enhancing benefits for enrollees. Humana seeks the retraction and recalculation of the ratings, emphasizing the critical importance of these ratings in the half-trillion-dollar Medicare program.
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