Inactive Case

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

Docket No.
1:23-cv-03902
District Court
District of Columbia

Goal

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

Issues

Why this Matters:

A group of  Medicare Advantage organizations allege that the defendants miscalculated the 2024 star ratings for their Medicare Advantage plans in violation of the Administrative Procedure Act. Specifically, the plaintiffs allege that the agency’s method for calculating the cut point violated federal regulations. 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.

16 Major Filings

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Related Litigation

Current Status

Decision issued

Legal Issues

Administrative Procedure Act - Contrary to Law, Administrative Procedure Act - Arbitrary and Capricious, Administrative Procedure Act - Not in Accordance with Law

Date Filed
December 29, 2023
Case Type
Civil
Court Type
District Court
Court
District of Columbia
Judge
Moss, Randolph D. Appointed By: Barack Obama
Plaintiff(s)
Elevance Health, Inc.; AMH Health Plans of Maine, Inc.; AMH Health, LLC; Anthem Blue Cross Life and Health Insurance Company; Anthem Healthchoice HMO, Inc.; Anthem Health Plans, Inc.; Anthem Insurance Companies, Inc.; Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.; Blue Cross of California; Community Care Health Plan of Louisiana, Inc.; Community Insurance Company; Compcare Health Services Insurance Corporation; Healthkeepers, Inc.; HealthPlus HP, LLC; HealthSun Health Plans, Inc.; HMO Colorado, Inc.; Matthew Thornton Health Plan, Inc.; Wellpoint Insurance Company; Wellpoint Iowa, Inc.; Wellpoint New Jersey, Inc.; Wellpoint Ohio, Inc.; Wellpoint Tennessee, Inc.; Wellpoint Texas, Inc.; Wellpoint Washington, Inc.
Lead Counsel For Plaintiff(s)
Reed Smith LLP
Defendant(s)
Xavier Becerra; Chiquita Brooks-LaSure
Lead Counsel for Defendant(s)
Government