STAT+: Judge dismisses Humana\u2019s case over downgraded Medicare Advantage ratings
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A federal judge on Friday tossed out a lawsuit from Humana that attempted to reinstate higher quality ratings to its 2025 Medicare Advantage plans.<\/p>\n
The ruling jeopardizes billions of dollars in taxpayer-funded bonuses that Humana gets from the government\u2019s star ratings program. However, Humana said it is considering appealing or refiling the lawsuit, which was dismissed on administrative grounds.<\/p>\n
U.S. District Court Judge Reed O\u2019Connor said Humana\u2019s lawsuit, filed in October, was \u201cpremature\u201d because the company attempted to sue the government before it had gone through Medicare\u2019s formal appeals process for contested star ratings. Medicare eventually denied Humana\u2019s appeal in April, but O\u2019Connor said existing case law requires courts to look at the alleged harms \u201cat the time of the action brought.\u201d<\/p>\n
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