Off Label Ideas News Rundown - Tuesday, 06/23/2026
Story 1: CMS Reopens Medicare Advantage Star Ratings After Clover Lawsuit
CMS is voluntarily recalculating 2027 Medicare Advantage Quality Bonus Payment ratings for certain contracts after Clover Health successfully challenged CMS’s 2026 Star Ratings methodology. The recalculation will only raise ratings, not lower them; Clover’s PPO contract reportedly moved from 3.5 to 4.5 stars after a federal court found problems with the agency’s use of certain measures. (healthcarefinancenews.com)
The stakes are not just like changing your Yelp review. Medicare Advantage Star Ratings help beneficiaries compare plans, but they also determine Quality Bonus Payments and affect rebates, meaning the “quality” score is also a federal payment formula. (cms.gov)
