Reimbursement
The increase counteracts some of the financial uncertainty caused by the California state budget deficit, CalOptima says.
CMS has paid over $2.5 billion to Part A hospitals and more than $717 million to Part B physicians, suppliers and others.
The decision comes after CMS lost two court cases, but the agency says it reserves the right to appeal.
CMS has been ordered to redetermine the star ratings, which Elevance says should be higher.
The current HHS formula costs hospitals more than a billion dollars each year, says AHA.
"Today's decision is a victory for Tribal self-determination and Tribal sovereignty," says Mark Macarro.
The ruling could have industry-wide implications for other MA plans seeking to raise their star ratings and bonuses.