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CMS Won’t Appeal Ruling on UnitedHealthcare Star Ratings

1/25/2025

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Summary

CMS Recalibrates Ratings

In a significant turn of events, the Centers for Medicare and Medicaid Services (CMS) has decided not to appeal a court ruling that mandates a recalculation of UnitedHealthcare's Medicare Advantage star ratings. This decision follows a contentious foreign language call that impacted the insurer's scores, amidst ongoing legal battles that could have major financial repercussions for the industry.

Summary

Elevance Health Optimizes

Elevance Health is poised for a brighter future, expecting better Medicaid margins by mid-2025 thanks to state rate adjustments. Despite facing a significant 51% plunge in fourth-quarter profits to $418 million, the company saw revenues soar to $45 billion. With a target of 7-9% growth in Medicare Advantage membership, Elevance is tapping into strong customer loyalty and interest.

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CMS Recalibrates Ratings

In a significant turn of events, the Centers for Medicare and Medicaid Services (CMS) has decided not to appeal a court ruling that mandates a recalculation of UnitedHealthcare's Medicare Advantage star ratings. This decision follows a contentious foreign language call that impacted the insurer's scores, amidst ongoing legal battles that could have major financial repercussions for the industry.

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