July 18 - Humana’s MA star ratings suit fails | CMS discontinues certain Medicaid waivers
Trump administration to end Medicaid waivers for continuous enrollment, workforce training; Civil monetary penalties against Medicare Advantage, Medicare drug plans rising, CMS data shows; Bankrupt Steward sues former CEO over alleged financial mismanagement
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It’s a significant loss for the insurer, which sued the government late last year after its star ratings plummeted for 2025. Analysts estimate Humana could lose billions of dollars as a result of the decision.
On Thursday, CMS sent letters to states notifying them that it doesn’t plan to approve any new such waivers or extend existing ones in the administration’s latest curtailing of Medicaid.
Civil monetary penalties against payers for improperly delaying or denying coverage, hitting members with higher cost sharing than allowed and other issues have already surpassed $3 million this year.
