BUZZ-Some health insurers to benefit from CMS rework of quality ratings, analysts say

Reuters06-14

** The Centers for Medicare & Medicaid Services $(CMS)$ plans to redo this year's quality ratings of private Medicare plans, the Wall Street Journal reported on Thursday, likely increasing the bonus payments for some insurers

** According to the report, the decision comes after two lawsuits filed by insurers SCAN Health Plan and Elevance Health

over improperly calculated star ratings, which determine the reimbursement levels and can sway enrollees in choosing their plans

** CMS, ELV and SCAN did not immediately respond to Reuters' requests for comment

** Health insurers such as UnitedHealth , Humana

offer Medicare Advantage plans under which private insurers are paid a set rate to manage healthcare for people aged 65 and older or with disabilities

** Brokerage Oppenheimer sees CMS' recalculation as a "big win for the industry, as these additional payments could prove extremely timely" as insurers have grapple with elevated costs as more Americans sought medical care

** It is likely CMS will cause these bonus payments to be incorporated in the 2025 bid, which could allow for modestly higher benefit packages and consequently modestly faster membership growth - Bernstein

(Reporting by Sriparna Roy in Bengaluru)

((Sriparna.Roy@thomsonreuters.com;))

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calculated star ratings, which determine the reimbursement levels and can sway enrollees in choosing their plans   ** CMS, ELV and SCAN did not immediately respond to Reuters' requests for comment   ** Health insurers such as UnitedHealth   , Humana  offer Medicare Advantage plans under which private insurers are paid a set rate to manage healthcare for people aged 65 and older or with disabilities    ** Brokerage Oppenheimer sees CMS' recalculation as a \"big win for the industry, as these additional payments could prove extremely timely\" as insurers have grapple with elevated costs as more Americans sought medical care   ** It is li","collect":0,"end_time":0,"defaultTopTitle":"","property":["rate"],"viewcount":null,"language":"en","relate_stocks":{"ELV":"Elevance Health","HUM":"哈门那","BUZZ":"VanEck Social Sentiment 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