Blue Cross and Blue Shield of Massachusetts, Inc. et al. v. Kennedy et al.

Why This Matters:

Medicare Advantage organizations allege that the defendants miscalculated the 2025 star rating for their Medicare Advantage plans in violation of the Administrative Procedure Act. Specifically, plaintiffs allege that two parts of the star ratings calculation process were inconsistent with federal rules and thus arbitrary and capricious. 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.