More insurers sue CMS over Medicare Advantage stars
The Medicare Advantage (MA) Stars program, managed by the Centers for Medicare & Medicaid Services (CMS), evaluates the quality of
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Legal Actions/Court Decisions
DOJ sues medical device maker alleging Medicare billing scheme
(By: Ella Jeffries for Becker’s Hospital Review) The Justice Department has sued medical device maker NeuroSolutions 100 and its owner
Read MoreMedicare Advantage Company Pays $342M to Government in Midst of Billing Probe
(By Fred Schulte for KFF Health News published June 26, 2026) A major Medicare Advantage company has paid the government
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PBMs take Tennessee, Illinois to federal court over pharmacy laws
(By: Elizabeth Casolo for Becker’s Hospital Review) The Pharmaceutical Care Management Association, a trade group for pharmacy benefit managers, filed
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CMS recalculates MA star ratings payments in wake of Clover lawsuit
(By: Elizabeth Casolo for Becker’s Hospital Review) CMS is “voluntarily recalculating” 2027 Medicare Advantage quality bonus payment ratings, based on
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Health systems sue CVS over alleged $250M 340B scheme
(By: Alan Condon for Becker’s Hospital Review) Three health systems have filed federal lawsuits against CVS Health, alleging the company
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Healthcare software company owner convicted in $1B Medicare fraud scheme
(By: Naomi Diaz for Becker’s Hospital Review) A federal jury in the Southern District of Florida convicted the founder and
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CMS issues another round of Medicare Advantage fines to 13 health plans
(By: Jakob Emerson for Becker’s Hospital Review) CMS has fined 13 health plans a combined $1.5 million for Medicare Advantage
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Oregon declares health share company an unlicensed insurer, orders it to cease operations
(By: Jakob Emerson for Becker’s Hospital Review) Oregon’s Division of Financial Regulation has ordered ClearShare Health and four affiliated entities
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Connecticut fines 5 insurers over alleged mental health parity violations
(By: Elizabeth Casolo for Becker’s Hospital Review) The Connecticut Insurance Department fined Aetna, Cigna, ConnectiCare, UnitedHealthcare and Anthem over alleged mental health
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