Elevance Health, Inc. et al. v. Kennedy et al.

Docket No.
4:24-cv-01064
District Court
Texas Northern

Goal

  • Compel agency action
  • Declaration that agency action is unlawful

Litigation Content

Why this Matters:

A Medicare Advantage organization alleges that the defendants miscalculated the 2025 star rating for their Medicare Advantage plans in violation of the Administrative Procedure Act. Specifically, the plaintiffs allege that the agencies exceeded their authority by ignoring methodological errors in score calculations and penalizing plans on certain measures. 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