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Strategist | strategy-catalyst

CMS will recalculate MA star ratings after legal losses

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  • CMS confirmed it will rework this year’s Medicare Advantage star ratings after facing a string of legal losses in cases brought by payers disputing recent methodological changes.

    • A federal district court ordered CMS to recalculate the star ratings for BCBS of Georgia (an Elevance plan) after the company successfully argued that CMS didn’t follow proper administrative procedures when the agency changed it ratings methodology to adopt a new stabilization method called Tukey outlier deletion.