UnitedHealthcare Benefits of Texas, Inc. et al. v. Centers for Medicare & Medicaid Services et al.

Docket No.
6:24-cv-00357
District Court
Texas Eastern

Goal

  • Compel agency action
  • Declaration that agency action is unlawful
  • Vacate agency action

Litigation Content

Why this Matters:

Plaintiffs, Medicare Advantage organizations, allege that the defendants miscalculated the 2025 star ratings for their Medicare Advantage plans in violation of the Administrative Procedure Act. Specifically, the plaintiffs allege that the defendants improperly weighted the organizations’ handling of a secret shopper call to their shared call center operated by United HealthCare Services. Star ratings, which are designed to assess a plan’s quality, affect whether a plan is eligible for the Medicare Advantage program and whether the plan can receive bonus payments.

Potential Impact:

Medicare beneficiaries seeking information about Medicare Advantage plans rely on federal star ratings. Ensuring that these ratings are accurate and not inflated helps beneficiaries find affordable plans and avoid unnecessary expenses.

Litigation Information

Current Status

Decision issued