Humana ‘Moved the Goalposts’ in Medicare Payment Suit, DOJ Says

Medicare Advantage insurer Humana Inc. has “moved the goalposts” and should be denied a motion seeking additional records in its lawsuit challenging the Biden administration’s calculation of the insurer’s quality measure, or “star rating,” the Department of Justice says.

After Humana claimed that the Centers for Medicare & Medicaid Services failed to produce administrative records in the case, the agency provided additional material. But Humana claimed that the additional data was insufficient to allow for summary judgment briefing on one of the counts in its lawsuit filed in US District Court for the Northern District of Texas.

On Nov. 27, ...