Blue Cross Sues Over Florida Plans’ Reduced Medicare Ratings

December 27, 2024, 10:09 PM UTC

Health insurer Blue Cross and Blue Shield of Florida Inc. is accusing the federal Medicare agency of failing to apply an adjustment to its plans’ quality ratings after severe flooding in the state disrupted care for members.

The lawsuit filed Friday in the US District Court for the District of Columbia alleges a 2019 rule from the Centers for Medicare & Medicaid Services that sought to minimize the effects of natural disasters and other extreme events on Medicare plans’ “star ratings” is “arbitrary and capricious.”

Florida Blue, which offers Medicare Advantage and Part D prescription drug plans, said in the ...

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