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Alignment Healthcare sues federal regulators over 2027 Medicare Advantage ratings

Alignment Healthcare has filed a lawsuit against federal regulators, claiming its 2027 Medicare Advantage star ratings were calculated in violation of federal statute.

FTMQ Health, written by our newsroom0 views

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Alignment Healthcare has filed a lawsuit against federal regulators over its 2027 Medicare Advantage star ratings. Fierce Healthcare reported that the company alleges its ratings were determined in flagrant violation of statute. Modern Healthcare and USA Herald also reported on the legal challenge against the Centers for Medicare and Medicaid Services. [1][7][9]

According to USA Herald, the legal action follows a drop in the insurer star ratings that threatens its bonus payments for 2028. Alignment Health also announced the launch of a new Medicare Advantage plan, GlobeNewswire reported. [8][9]

Medicare Advantage is a health plan option in the United States provided by private companies under the framework of traditional Medicare. The program offers private insurance choices that wrap around original coverage to fill gaps for beneficiaries. As FTMQ Health reported earlier, major Medicare Advantage insurers have previously taken legal action against federal health agencies over regulatory rules. [11][13]

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In short

  • Alignment Healthcare filed a lawsuit against federal regulators over its 2027 Medicare Advantage star ratings.
  • The insurer alleges that the ratings were determined in violation of statute.
  • USA Herald reported that a drop in star ratings threatens bonus payments for the company in 2028.

Sources

Every paragraph above points to the numbered items it rests on. Read the originals here.

  1. [1]Alignment Healthcare sues CMS over its 2027 Medicare Advantage star ratingsFierce Healthcare (the report this story comes from)
  2. [2]Home sleep apnea testing faces payment cut under 2027 CMS ruleManaged Healthcare Executive, 11h ago
  3. [3]Healthcare in 2027: European investment, predictable financing, modernisation and resilience for a sustainable systemRomania Insider, 16h ago
  4. [4]‘Medicare for All’ to ‘Take on Big Pharma’: What’s Behind Healthcare SlogansNortheast Mississippi Daily Journal, 3h ago
  5. [5]‘Medicare for All’ to ‘Take on Big Pharma’: What’s Behind Healthcare SlogansWatauga Democrat, 3h ago
  6. [6]‘Medicare for All’ to ‘Take on Big Pharma’: What’s Behind Healthcare Slogansswiowanewssource.com, 3h ago
  7. [7]Alignment Health sues over 2027 star ratingsModern Healthcare, 10h ago
  8. [8]Alignment Health Launches New Medicare Advantage PlanGlobeNewswire, 10h ago
  9. [9]Medicare Insurer Sues CMS After Star Rating Drop Threatens 2028 Bonus PaymentsUSA Herald, 2h ago

Background

  1. [10]List of S&P 600 companies on Wikipedia
  2. [11]Medicare Advantage on Wikipedia
  3. [12]Medicare Advantage on Grokipedia
  4. [13]Federal judges question government arguments in Humana Medicare Advantage lawsuit FTMQ Health, 7d ago

Our newsroom writes these reports with the help of software, from the 13 sources listed and nothing else, and checks them against those sources. Facts can still be wrong or move on; the originals are the record. Spotted a mistake? Write to daniel@monsterkong.com.

Earlier reports of ours on the same people and subjects.

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