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Thirty-four MA plans earned 5 stars in 2026 star ratings.
Star ratings represent billions of dollars in quality bonus payments. CMS has cost Elevance $375M, the complaint says.
Longitude Health says it plans to invest in solutions to address healthcare's most complex challenges.
Changes in methodology in 2024 and 2025 added Tukey outlier deletion that is used to set cut points for CAHPS measures.
The contracts do not favor managed care organizations that participate in the state's provider networks, according to plaintiffs.
The company will be debuting new individual marketplace plans in Florida, Maryland and Texas beginning January 2025.
Highly concentrated markets and consolidation have hurt both patients and medical professionals, the AMA said.
The moves emphasize the company's evolution beyond that of a traditional health insurance provider.
Blue Cross was the most named, largest insurer in 10 states in which three insurers had over 75 percent of the large group health insurance market.
Due in large part to an aging baby boomer population, Medicare and Medicaid account for nearly 60 percent of top insurer revenues and 20 percent of their plan membership.
