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Sunday, November 24, 2024

UnitedHealth wins lawsuit, forcing government to revise its Medicare Advantage ratings

 A conservative federal judge in Texas has ruled in favor of UnitedHealth Group, saying the federal government unlawfully factored in a “disputed” phone call to lower UnitedHealth’s Medicare Advantage ratings. 

The Centers for Medicare and Medicaid Services will now have to revise UnitedHealth’s 2025 Medicare Advantage ratings by taking out the call center metric, and “immediately publish the recalculated star ratings in the Medicare Plan Finder,” Judge Jeremy Kernodle wrote in his ruling. 

https://www.statnews.com/2024/11/23/unitedhealth-medicare-advantage-ratings-lawsuit-cms-call-center/

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