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Medical Daily
Medical Daily
Health
Joseph James

Healthfirst Sues CMS Over 3.5-Star Medicare Advantage Rating, Saying the Drop Will Cost It Over $380 Million

Healthfirst, a New York City nonprofit insurer with more than 300,000 Medicare Advantage members, has sued the federal government to overturn its 2027 star rating, saying the downgrade will cost the plan more than $380 million, Becker's Payer Issues reported. The plan's rating fell to 3.5 stars from 4.5 stars the prior year.

The complaint was filed Oct. 19 in the U.S. District Court for the Southern District of New York, according to the Georgetown Health Care Litigation Tracker. It is assigned to Judge Edgardo Ramos.

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