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  "id": "elevance-health",
  "name": "Elevance Health",
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    {
      "slug": "medicare-advantage-2027",
      "title": "Medicare Advantage's Retreat: From the 2026 Rate Hike to the 2027 Plan Exits and Open Enrollment",
      "url": "https://whatledto.com/events/medicare-advantage-2027",
      "json": "https://whatledto.com/events/medicare-advantage-2027.json",
      "role": "Made a $342.2 million payment to CMS in a risk-adjustment enforcement matter and is challenging CMS's post-Clover star-ratings recalculation.",
      "entries": 6,
      "updated_at": "2026-10-14T02:01:40.262749+00:00"
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      "id": 655,
      "url": "https://whatledto.com/events/medicare-advantage-2027#n655",
      "date": "2026-08-27",
      "date_precision": "day",
      "title": "Federal judge denies Elevance star-ratings preliminary injunction",
      "summary": "The U.S. District Court for the Southern District of Georgia denied Elevance Health's motion for a preliminary injunction over its Medicare Advantage star ratings. The court also denied the government's motion to dismiss the case.",
      "type": "legal",
      "entities": [
        "Elevance Health",
        "Department of Health and Human Services",
        "Centers for Medicare & Medicaid Services",
        "U.S. District Court for the Southern District of Georgia"
      ],
      "parties": [
        "elevance-health",
        "department-of-health-and-human-services",
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        "us-district-court-for-the-southern-district-of-georgia"
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          "outlet": "U.S. District Court for the Southern District of Georgia order, reproduced by Justia",
          "published": "2026-08-27",
          "quote": "ORDER denying #34 Motion to Dismiss; denying #7 Motion for Preliminary Injunction."
        }
      ]
    },
    {
      "timeline": "medicare-advantage-2027",
      "id": 651,
      "url": "https://whatledto.com/events/medicare-advantage-2027#n651",
      "date": "2026-07-01",
      "date_precision": "day",
      "title": "Elevance Health sues HHS and CMS over star-ratings recalculation",
      "summary": "Elevance Health sued the Department of Health and Human Services and the Centers for Medicare & Medicaid Services over the recalculation of Medicare Advantage quality ratings. Elevance Health alleged that the recalculation did not align with the Clover Health ruling and affected $115 million in payments.",
      "type": "legal",
      "entities": [
        "Elevance Health",
        "Department of Health and Human Services",
        "Centers for Medicare & Medicaid Services",
        "Clover Health"
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      "parties": [
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        "department-of-health-and-human-services",
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          "url": "https://docs.justia.com/cases/federal/district-courts/georgia/gasdce/2%3A2026cv00061/128226/45",
          "outlet": "U.S. District Court for the Southern District of Georgia order, reproduced by Justia",
          "published": "2026-08-27",
          "quote": "Plaintiffs filed the instant action on July 1, 2026."
        },
        {
          "url": "https://www.statnews.com/2026/07/02/elevance-lawsuit-medicare-advantage-star-ratings-clover/",
          "outlet": "STAT",
          "published": "2026-07-02",
          "quote": "Elevance Health has sued the U.S. government, alleging that federal efforts to recalculate its Medicare Advantage quality ratings didn’t align with a recent court ruling, costing the health insurer $115 million."
        }
      ]
    },
    {
      "timeline": "medicare-advantage-2027",
      "id": 646,
      "url": "https://whatledto.com/events/medicare-advantage-2027#n646",
      "date": "2026-05-27",
      "date_precision": "day",
      "title": "Elevance Health wires $342.2 million to CMS",
      "summary": "Elevance Health sent a $342.2 million wire payment to the Centers for Medicare & Medicaid Services in connection with a Medicare Advantage risk-adjustment enforcement matter. Court records reported that the wire transfer occurred on May 27.",
      "type": "financial",
      "entities": [
        "Elevance Health",
        "Centers for Medicare & Medicaid Services"
      ],
      "parties": [
        "elevance-health",
        "centers-for-medicare-medicaid-services"
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      "sources": [
        {
          "url": "https://www.fiercehealthcare.com/payers/elevance-health-pays-342m-government-midst-billing-probe",
          "outlet": "Fierce Healthcare / KFF Health News",
          "published": "2026-06-26",
          "quote": "Elevance Health, which covers about 2 million people on Medicare, sent the money to the Centers for Medicare & Medicaid Services via wire transfer on May 27, court records show."
        }
      ]
    },
    {
      "timeline": "medicare-advantage-2027",
      "id": 628,
      "url": "https://whatledto.com/events/medicare-advantage-2027#n628",
      "date": "2026-02-24",
      "date_precision": "day",
      "title": "Enrollment data: MA grows only 3 percent to 35.5 million; UnitedHealthcare down 9 percent since October",
      "summary": "A Healthcare Dive analysis of CMS enrollment files showed 35.5 million people in Medicare Advantage in February 2026 versus 34.4 million a year earlier, growth of about 3 percent against a historical pace of up to 10 percent. UnitedHealthcare fell to just under 9.4 million from 10.3 million before open enrollment; Elevance, Centene and CVS lost 14, 4 and 3 percent of members; Humana was the big gainer.",
      "type": "report",
      "entities": [
        "UnitedHealthcare",
        "Humana",
        "Elevance Health",
        "Centene",
        "Aetna",
        "Centers for Medicare & Medicaid Services"
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        "centene",
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      "sources": [
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          "url": "https://www.healthcaredive.com/news/medicare-advantage-enrollment-2026-unitedhealth-humana-cms/812856/",
          "outlet": "Healthcare Dive",
          "published": "2026-02-24",
          "quote": "Almost 35.5 million people were enrolled in the privatized Medicare programs as of February, compared with about 34.4 million people in the same month last year, according to new government data."
        }
      ]
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      "timeline": "medicare-advantage-2027",
      "id": 623,
      "url": "https://whatledto.com/events/medicare-advantage-2027#n623",
      "date": "2025-10-09",
      "date_precision": "day",
      "title": "2026 star ratings: 40 percent of MA-PD contracts at four stars or better, covering 64 percent of enrollees",
      "summary": "CMS posted the 2026 star ratings on the Plan Finder on October 9, 2025. About 207 MA-PD contracts, 40 percent, earned four or more stars, and the enrollment-weighted average rating edged up to 3.98 from 3.95. The ratings set the 2027 quality bonus payments that feed into the 2027 rate announcement.",
      "type": "report",
      "entities": [
        "Centers for Medicare & Medicaid Services",
        "Humana",
        "UnitedHealthcare",
        "Elevance Health"
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        {
          "url": "https://www.cms.gov/files/document/2026-star-ratings-fact-sheet.pdf",
          "outlet": "Centers for Medicare & Medicaid Services",
          "published": "2025-11-18",
          "quote": "Approximately 40% of MA-PDs (207 contracts) that will be offered in 2026 earned four stars or higher for their 2026 overall rating."
        }
      ]
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      "timeline": "medicare-advantage-2027",
      "id": 622,
      "url": "https://whatledto.com/events/medicare-advantage-2027#n622",
      "date": "2025-10-02",
      "date_precision": "day",
      "title": "UnitedHealthcare confirms full exits from 16 markets, 109 fewer counties, for 2026",
      "summary": "As the 2026 plan files went public, UnitedHealthcare confirmed it would leave Medicare Advantage entirely in 16 markets, affecting about 180,000 members, and offer plans in one fewer state and 109 fewer counties. Humana cut 194 counties and three states, and Aetna about 90 plans across 100 counties; Elevance added counties but left the standalone Part D market.",
      "type": "announcement",
      "entities": [
        "UnitedHealthcare",
        "Humana",
        "Aetna",
        "Elevance Health"
      ],
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          "url": "https://www.insurancebusinessmag.com/us/news/life-insurance/unitedhealth-to-exit-medicare-advantage-plans-in-16-markets-551768.aspx",
          "outlet": "Insurance Business",
          "published": "2025-10-02",
          "quote": "UnitedHealthcare will fully exit Medicare Advantage plans in 16 US markets for the 2026 plan year the company confirmed. The move, which will affect about 180,000 policyholders, has been described as part of a broader Medicare Advantage pullback previously announced, which is expected to impact 600,000 policyholders nationwide."
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