SCAN Health Plan has won a lawsuit against the Centers for Medicare & Medicaid Services (CMS) regarding the Medicare Advantage star ratings. A judge ruled that the federal government incorrectly lowered SCAN's 2024 star ratings, which resulted in the loss of hundreds of millions of dollars in federal bonuses. The ruling will lead to more than $250 million being returned to SCAN. This decision has significant implications, as other Medicare Advantage plans, such as those by $ELV and $HUM, are now seeking similar treatment, highlighting concerns about the serious flaws in the star bonus system. The case involved a Medicare Advantage company in California.
A judge ruled that the federal government inappropriately lowered the 2024 Medicare Advantage star ratings of SCAN Health Plan. The decision will lead to more than $250 million funneling back into SCAN. https://t.co/xeC2N91JYv
What the Medicare Advantage Star Ratings lawsuit means https://t.co/5sfdku7inb
SCAN Health Plan wins Medicare Advantage Star Ratings lawsuit https://t.co/emlCCZ5tsA
Medicare Advantage plans https://t.co/GqzHe1STF4
A Medicare Advantage company in California lost hundreds of millions of dollars in federal bonuses when CMS lowered the plan's star rating. But a judge's ruling said the government got it wrong. https://t.co/LQFKxC1MXX
A Medicare Advantage plan in CA is winning back $250M after arguing the gov't messed up its MA star ratings. $ELV is now demanding the same treatment. Lots of $ at stake, even though there are big concerns MA's star bonus system has "serious flaws." https://t.co/994tib3k7p
STATNEWS: $HUM Medicare Advantage plan’s quality ratings were incorrectly calculated by government, judge rules https://t.co/T6na2bZ7Q9
SCAN wins Medicare Advantage star ratings lawsuit against CMS https://t.co/iS3DSNuq0Q
This is the guy who cut Medicare Advantage, which is how over 51% of seniors now get their Medicare, TWO YEARS IN A ROW. https://t.co/M6KuxUeV2V