CMS
Role in each timeline
- Medicare Advantage's Retreat: From the 2026 Rate Hike to the 2027 Plan Exits and Open Enrollment
Federal agency whose Medicare Advantage payments were implicated by the alleged coding.
CMS across every timeline
Every dated entry that names CMS, from all 1 timeline, newest first.
- Alignment Healthcare sues CMS over 2027 star-ratings methodology Legal
Alignment Healthcare filed a lawsuit against CMS in District of Columbia federal court over the methodology for 2027 Medicare Advantage Star Ratings. The insurer alleged that CMS departed from a system of predictable, valid measures developed with input from providers, plans, and the public.
on Medicare Advantage's Retreat: From the 2026 Rate Hike to the 2027 Plan Exits and Open Enrollment - Clover Health says its PPO MA plans earned five stars for 2027 Announcement
Clover Health said CMS awarded its PPO Medicare Advantage plans five stars and its HMO plan 4.5 stars for 2027. Clover Health said the ratings would affect payment year 2028.
on Medicare Advantage's Retreat: From the 2026 Rate Hike to the 2027 Plan Exits and Open Enrollment - Aetna says over 69 percent of MA members are in four-star plans Announcement
Aetna said more than 69% of its Medicare Advantage members were in 2027 plans rated four stars or higher. The ratings were assigned by CMS.
on Medicare Advantage's Retreat: From the 2026 Rate Hike to the 2027 Plan Exits and Open Enrollment - Humana says 95 percent of MA members are in four-star plans Announcement
Humana said 95% of its Medicare Advantage members were enrolled in plans rated four stars or higher for 2027. Healthcare Dive reported that its analysis of CMS data put Humana's corresponding percentage at 93%.
on Medicare Advantage's Retreat: From the 2026 Rate Hike to the 2027 Plan Exits and Open Enrollment - CMS releases 2027 Medicare Advantage and Part D star ratings Regulatory
CMS released its 2027 Star Ratings for Medicare Advantage and Medicare Part D plans. CMS said 188 MA-PD contracts, approximately 37% of those offered in 2027, earned four stars or higher.
on Medicare Advantage's Retreat: From the 2026 Rate Hike to the 2027 Plan Exits and Open Enrollment - CMS projects about 5,532 Medicare Advantage plans for 2027 Announcement
CMS projected approximately 5,532 Medicare Advantage plans nationally for 2027. It said the figure would be down from 5,553 plans in 2026.
on Medicare Advantage's Retreat: From the 2026 Rate Hike to the 2027 Plan Exits and Open Enrollment - MedPAC reports variation in risk-standardized MA plan bids Report
The Medicare Payment Advisory Commission presented preliminary analysis of 2024 Medicare Advantage HMO and PPO bids. It found that the 90th-percentile risk- and geography-standardized bid was about 40 percent higher than the 10th-percentile bid.
on Medicare Advantage's Retreat: From the 2026 Rate Hike to the 2027 Plan Exits and Open Enrollment - The Villages Health System agrees to $541.5 million FCA settlement Legal
The Villages Health System agreed to a $541.5 million settlement resolving self-disclosed False Claims Act allegations concerning Medicare Advantage diagnosis codes. The U.S. Department of Justice alleged that unsupported codes increased Medicare Advantage payments; the settlement did not determine liability.
on Medicare Advantage's Retreat: From the 2026 Rate Hike to the 2027 Plan Exits and Open Enrollment