Earlier this year, two judges ruled that the Centers for Medicare and Medicaid Services (CMS) had improperly calculated Medicare Advantage scores and subsequent bonuses under the Star Ratings program last October. This week, CMS issued revised quality ratings for 2024, with a number of plans receiving far higher ratings and bonuses than...
The Centers for Medicare and Medicaid Services (CMS) have decided to recalculate the 2024 Medicare Advantage (MA) star ratings and allow plans to resubmit bids for 2025 if their scores increase. Insurers are thrilled.
Two federal courts recently determined that CMS improperly calculated MA star ratings for 2024 after applying a...
SCAN Health Plan won a massive case against the Centers for Medicare and Medicaid Services (CMS) this week when Judge Carl J. Nichols of the U.S. District Court for the District of Columbia ruled that the agency improperly calculated SCAN's star ratings scores which caused the company to lose out on millions in bonuses.
SCAN will be...
Medicare Advantage plans are a staple in the Medicare market, and as they grow to eclipse the total number of beneficiaries represented by Traditional Medicare, the position MA plans play will need to become more refined. This week, a number of MA plans announced moves into new markets.
The critical distinction between MA and Medicare...
