Healthcare DIVE July 10, 2025
A judge agreed that the CMS should recalculate the scores for one Alignment plan in Arizona. Now, all of the insurer’s MA members are in plans rated four stars or higher.
Dive Brief:
- Alignment Healthcare has won a partial victory in its legal battle against the CMS, after a court ruled that federal regulators need to recalculate the insurer’s Medicare Advantage star ratings for 2025.
- Alignment sued the CMS in January, alleging that regulators erred in calculating the quality scores of some of its Arizona health plans, driving down their scores.
- In June, a D.C. district court concurred that the CMS made a mistake in reviewing member appeals of coverage determinations, Alignment said on Tuesday. However, the court did...
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