Becker's Healthcare July 8, 2025
A federal court has partially ruled in favor of Alignment Healthcare in a legal challenge against CMS, resulting in the Medicare Advantage company’s Arizona HMO star rating being raised from 3.5 to 4 stars.
All of Alignment’s members are now enrolled in plans rated 4 stars or higher, the company said in a July 8 news release. Alignment filed its original complaint in January, alleging CMS and its contractors made “significant mistakes” in their calculation of the company’s star ratings.
The insurer argued that CMS’s methodology, particularly its use of the Tukey Outlier Rule,...
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