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By Bob Herman
Oct. 3, 2024
Bob Herman, who covers the business of health care for STAT, is a co-author of an ongoing series about UnitedHealth Group.
UnitedHealth Group is suing the Centers for Medicare and Medicaid Services, asking a judge to halt the federal agency from lowering the insurance company’s 2025 Medicare Advantage quality ratings.
The health care giant alleged in the lawsuit that Medicare downgraded its Medicare Advantage star ratings, which are supposed to indicate a plan’s quality, based on “an arbitrary and capricious assessment” of its call center. UnitedHealth asked the judge to intervene immediately, since Medicare Advantage star ratings come out Oct. 10, and force Medicare to recalculate its scores without including the call center measure.
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CMS told STAT it does not comment on pending litigation.
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Bob Herman
Business of Health Care Reporter
Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses and shapes what we all pay for care. He is also the author of the Health Care Inc. newsletter.
Unpacking the business — and secretive inner workings — of the U.S. health care industry
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