During this Medicare open-enrollment season, people selecting options for 2025 can often choose among a dizzying number of ...

The Biden administration is planning to adjust the Medicare Star Ratings System to lower the impact of call center scores, which have been the subject of several lawsuits filed by managed care ...

Elevance Health is the latest insurer to fail in its bid challenging the Centers for Medicare & Medicaid Services (CMS) over star ratings scores. | The decision over scoring methodology may cost the ...

Medicare to adjust disputed Star Ratings measure: Bloomberg News Nov. 14, 2024 8:19 AM ET UnitedHealth Group Incorporated (UNH) Stock, CNC Stock, HUM Stock, CVS Stock CI, ELV, CLOV ALHC By: Dulan ...

Federal judge dismisses ELV's lawsuit challenging Medicare Advantage star ratings, leading to a $375M bonus loss tied to its star score.

The Centers for Medicare and Medicaid Services has appealed UnitedHealthcare's win over its Medicare Advantage star ratings score. CMS filed the appeal on Tuesday in federal court for the Eastern ...

CMS requires that interpreters must be available for 80% of incoming calls requiring an interpreter within 8 minutes of reaching a customer services representative. UnitedHealthcare first objected to ...

They’d like the measure removed, charging that it interferes with clinically-necessary treatment and has an “outsized impact” when stacked up against other measures in CMS’ Star Rating System.

It’s not the first year the CMS has faced backlash over star ratings calculations, which have a substantial impact on a health plan’s financial prospects for upcoming years. In June, the CMS ...

CMS assigned one-star Overall Hospital Quality Star Ratings to 229 hospitals in 2025. Every year, CMS assigns star ratings to U.S. hospitals based on 46 hospital quality measures, which are divided ...

The Texas judge’s decision — which picked apart Elevance’s argument on mathematical grounds — is expected to cost Elevance ...