Humana Inc. et al. v. Department of Health and Human Services et al.

Why This Matters:

Plaintiffs, a Medicare Advantage organization and trade association, allege the Department of Health and Human Services violated the Administrative Procedure Act in implementing regulations used to rate Medicare Advantage organizations. Plaintiffs ask the court to invalidate the low ratings they received as a result of allegedly dropped calls during an Accuracy and Accessibility Study. HHS conducts these studies to ensure Medicare Advantage organizations are providing accurate information to Medicare beneficiaries. This appeal addresses whether the district court erred in granting the defendants’ motion for summary judgement, finding that the defendants’ did not violate the Administrative Procedure Act.

Potential Impact:

Medicare beneficiaries seeking information about Medicare Advantage plans rely on the agency’s ratings. Ensuring that these ratings are accurate helps beneficiaries find affordable plans and avoid unnecessary expenses.