一位得克萨斯州法官驳回了Humana的诉讼,维持了CMS的决定,即由于口译测试失败而降低其医疗保险优势评级,这可能会使该公司损失10亿美元。
A Texas judge dismissed Humana’s lawsuit, upholding a CMS decision to downgrade its Medicare Advantage rating due to failed interpreter tests, potentially costing the company $1 billion.
一位得克萨斯州联邦法官驳回了Humana对政府2025年医疗优待明星评分提出的诉讼,支持CMS的决定,即由于语言翻译测试电话失败,降低保险公司的分数。
A Texas federal judge has dismissed Humana’s lawsuit challenging the government’s 2025 Medicare Advantage star ratings, upholding CMS’s decision to downgrade the insurer’s score due to failed language interpreter test calls.
在公开入学前刚刚发布的裁决确认CMS有权禁止保险公司在评估期间召回, 并禁止未来法律质疑。
The ruling, issued just before open enrollment, confirms CMS’s authority to prohibit insurers from calling back during evaluations and bars future legal challenges.
降级可能使Humana损失高达10亿美元的奖金支付,
The downgrade could cost Humana up to $1 billion in bonus payments and reduce its 4-star or higher plan enrollment to 20%.
该决定加强了联邦对医疗福利补偿的管制,并可能影响保险公司准备未来评级的方式。
The decision reinforces federal control over Medicare Advantage reimbursements and may influence how insurers prepare for future ratings.