HMO Louisiana, Inc. v. Department of Health and Human Services et al.

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. 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. In this appeal, the plaintiff seeks to overturn the district court’s decision granting summary judgment to the government.

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.