A federal judge upheld CMS Medicare Advantage star ratings, resulting in a downgrade for Humana that risks billions in government bonus payments. The ruling affects nearly half of Humana's Medicare Advantage members and has broad implications for the insurer and Medicare market.

The proposed budget bill aims to tighten Medicaid and CHIP eligibility, risking coverage losses for over 10 million Americans and raising ACA marketplace premiums. Virginia hospitals could face significant funding reductions.