Becker’s Healthcare November 6, 2026
At least six health insurers have now sued CMS over their 2027 Medicare Advantage star ratings, claiming the agency used quality measures that were never formally adopted through the rulemaking process. Combined, the plans say the ratings will cost them more than $3.1 billion.
Over the last several years, CMS has faced an onslaught of litigation from the industry over how it calculates the ratings, which can lead to millions of dollars in bonus payments for high-rated contracts. In 2024, wins by SCAN and Elevance Health led the agency to recalculate ratings for every MA contract, while challenges to the 2025 ratings produced mixed results for the industry.
In May, a federal judge in Georgia ruled that CMS improperly included…
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