Maryland Insurer Sues Federal Government Over Medicare Advantage Ratings
A Maryland healthcare insurer sues CMS over AI-related delays in Medicare Advantage ratings, highlighting critical regulatory compliance issues and financial impacts.
Kaiser Permanente Earns 5-Star Quality Ratings in California Health Plans
Kaiser Permanente’s California health plans receive top 5-star ratings from CMS and state regulators for quality of care, reflecting value-based care excellence and sustained industry recognition.
CMS Proposes Major Changes to Medicare Advantage and Part D for 2027
CMS's 2027 Proposed Rule introduces major Medicare Advantage and Part D program reforms including Star Ratings revisions, risk adjustment data access expansion, marketing rules relaxation, and new special enrollment periods for provider terminations.
CMS Proposes Overhaul of Medicare Advantage Star Ratings, Shifts Focus to Outcomes
CMS proposes major changes to Medicare Advantage Star Ratings, removing administrative measures and focusing on patient outcomes with mixed reactions from healthcare stakeholders.
Alignment Healthcare Wins Court Case Raising Medicare Advantage Star Rating to 4 Stars
Alignment Healthcare successfully raises its Arizona HMO star rating from 3.5 to 4 stars after a federal court ruling, impacting Medicare Advantage member care and CMS bonus payments.