CMS appeals Clover’s Medicare Advantage star ratings win

CMS has taken its loss in a court battle over Clover Health's Medicare Advantage star ratings to the U.S. Court of Appeals for the Eleventh Circuit. Clover had sued CMS, arguing that certain measures led to a lower rating for its largest MA contract. This case now moves to the appeals court, potentially impacting how future ratings are determined and how CMS and insurers navigate these complex ratings systems. The outcome could have significant implications for Medicare Advantage plans and the broader healthcare system.