- Docket No.
- 26-12553
- Appellate Court
- Eleventh Circuit
Goal
- Compel agency action
- Declaration that agency action is unlawful
- Vacate agency action
Issues
Case History
Litigation Content
Why This Matters:
Why this Matters:
A Medicare Advantage organization (MAO) alleges that the Centers for Medicare and Medicaid Services (CMS) miscalculated the 2026 Star Rating for their Medicare Advantage plans in violation of the Administrative Procedure Act and nondelegation doctrine. Specifically, the MAO alleges that the agencies exceeded their authority by considering metrics that are unrelated to clinical quality and health outcomes and unlawfully delegated certain measures to external entities. On appeal, the defendants argue that the district court erred in finding that CMS had used the wrong data to calculate the MAO’s Star Rating
Potential Impact:
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.