A federal judge in Texas has ruled in favor of UnitedHealthcare, ordering the Centers for Medicare and Medicaid Services (CMS) to recalculate its Medicare Advantage quality scores for 2025. UnitedHealthcare had argued that the original calculations were flawed.
The court's decision could have substantial financial implications for UnitedHealthcare, which had previously stated that the initial ratings would result in millions of dollars in lost customers. This ruling may lead to improved star ratings for the company's plans.
This legal victory is also significant for the broader Medicare Advantage industry, as it could influence the outcomes of similar pending cases filed by other insurers challenging CMS's rating methodologies.
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