CMS appeals decision boosting UnitedHealth’s Medicare Advantage star ratings
(By Rylee Wilson for Becker’s Hospital Review) CMS is appealing a judge’s decision directing the agency to increase UnitedHealthcare’s star
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Legal Actions/Court Decisions
Lawsuits over Medicare Advantage star ratings pile up
(By Rylee Wilson for Becker’s Hospital Review) CMS is facing at least a half-dozen lawsuits over its 2025 Medicare Advantage
Read MoreSupreme Court to hear ACA preventive care coverage case
(By Jakob Emerson for Becker’s Hospital Review) The Supreme Court said Jan. 10 it would hear the landmark case that
Read MoreMassachusetts court orders UnitedHealth-owned insurers to pay $165M in penalties
(By Jakob Emerson for Becker’s Hospital Review) A Massachusetts court has ordered three UnitedHealth-owned insurers to pay over $165 million
Read MoreFlorida Blue latest to sue over Medicare Advantage star ratings
(By Rylee Wilson for Becker’s Hospital Review) Florida Blue is the latest insurer to sue CMS over its Medicare Advantage
Read MoreMedicare Advantage insurer to pay up to $98M to settle false claims allegations
(By Rylee Wilson for Becker’s Hospital Review) Independent Health will pay up to $98 million to settle allegations a now-defunct
Read MoreNew York City loses Medicare Advantage appeal
(By Rylee Wilson for Becker’s Hospital Review) New York City must pay for the cost of any plan it offers
Read MoreHow a Duty To Spend Wisely on Worker Benefits Could Loosen PBMs’ Grip on Drug Prices
(By Arthur Allen for KFF Health News) Ann Lewandowski knows all about pharmacy benefit managers, or PBMs, the companies that
Read MoreAnother system faces lawsuit over patient information allegedly shared with Facebook
(By Mariah Taylor for Becker’s Hospital Review) Philadelphia-based Jefferson Health is the latest system to face a class action lawsuit
Read MoreCMS ups UnitedHealth, Centene star ratings after court challenges
(By Rylee Wilson for Becker’s Hospital Review) CMS has updated the star ratings for some UnitedHealthcare and Centene Medicare Advantage
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