CMS Lowers Alignment Healthcare’s H3815 Star Rating to 3.5
The Centers for Medicare & Medicaid Services reduced the 2027 Star Rating for Alignment Healthcare’s primary California HMO contract, H3815, from 4.0 to 3.5. Affecting 75% of the company's total health plan membership, this downgrade renders the plan ineligible for CMS quality bonus payments tied to the 3.5 rating for fiscal 2028. Alignment Healthcare disclosed the regulatory setback in an SEC filing.
The Centers for Medicare & Medicaid Services lowered the 2027 Star Rating for Alignment Healthcare’s California HMO health plan contract H3815 from 4.0 to 3.5.
H3815 serves 75% of Alignment Healthcare’s health plan membership. The company disclosed the downgrade in a current report filed with the SEC.
Alignment said the change in Star Ratings performance for rating year 2027 will affect its quality bonus payments for fiscal 2028. The California plan became ineligible for CMS quality bonus payments tied to the 3.5 Star Rating.
This article may include AI-generated content that is human-reviewed, which is for reference and general information purposes only and does not constitute investment advice.
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