Unfair 4-star rating
TYLER, Texas — A federal court in Texas ruled in favor of a group of health firms whose Medicare Advantage plans that would have been rated 5 stars out of 5 by the Centers for Medicare and Medicaid Services, if not for a single foreign-language test call that was allegedly unsuccessful. The government has conceded that it did not follow its own guidelines for how these test calls should be performed, so its 4-star rating was an arbitrary and capricious agency action.
Brief / November 25, 2024
Read the ruling here.
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