The Centers for Medicare and Medicaid Services must recalculate Anthem Blue Cross and Blue Shield of Georgia’s Medicare Advantage star ratings, a federal court ruled Friday.
Parent company Elevance Health sued over its scores in December, alleging CMS did not follow proper procedures when it modified how it assesses quality and distributes bonus payments to the highest-performing Medicare Advantage plans. SCAN Health Plan won a similar case before the same court last week.
Related: What the Medicare Advantage Star Ratings lawsuit means
The U.S. District Court for the District of Columbia decision in the Elevance Health case only directly affects its Georgia subsidiary. But, along with the SCAN Health Plan ruling, it has implications for every Medicare Advantage insurer because CMS applied the same process all its ratings last year.