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Judge Dismisses Humana's Lawsuit, Lowers Medicare Star Ratings

10/15/2025

Summary

Story summary

U.S. District Judge Reed O'Connor dismissed Humana Inc.'s lawsuit against the Centers for Medicare & Medicaid Services, finding CMS's evaluation of Humana's customer service calls lawful.
The ruling downgrades Humana's 2025 Medicare Advantage star ratings from 4.5 to 3.5 stars, potentially costing millions in government bonuses.
Humana plans to pursue further legal options and remains committed to improving service quality amid ongoing Medicare Advantage market challenges.

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Story summary

U.S. District Judge Reed O'Connor dismissed Humana Inc.'s lawsuit against the Centers for Medicare & Medicaid Services, finding CMS's evaluation of Humana's customer service calls lawful.
The ruling downgrades Humana's 2025 Medicare Advantage star ratings from 4.5 to 3.5 stars, potentially costing millions in government bonuses.
Humana plans to pursue further legal options and remains committed to improving service quality amid ongoing Medicare Advantage market challenges.