Legal
Centene Sues CMS Over 2027 Medicare Advantage Star Ratings
Centene has filed suit against CMS challenging its 2027 Medicare Advantage star ratings, joining a growing list of insurers contesting how CMS calculated their quality scores. The St. Louis-based insurer argues its ratings should be recalculated, a change that could unlock hundreds of millions of dollars in bonus payments tied to higher star scores. The case adds to mounting litigation pressure on CMS's star ratings methodology from multiple Medicare Advantage carriers.
Why it mattersA favorable ruling could force CMS to recalculate star ratings industry-wide, directly affecting Medicare Advantage quality bonus payments that plans rely on for revenue and benefit design.