The U.S. Centers for Medicare and Medicaid Services (CMS) announced a change in its methodology for calculating Medicare Advantage star ratings. The 'call center' metric will now carry a smaller weighting in future assessments.
This adjustment addresses a long-standing point of contention for health insurers, including UnitedHealthcare, Centene, and Humana, which had previously filed lawsuits challenging the metric's impact on their ratings.
The decision by the director of Medicare indicates a responsiveness to industry feedback and could lead to more favorable star ratings for some plans. This change may alleviate some of the administrative and financial pressures associated with this specific metric.
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