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The CMS released 2027 Medicare Advantage star ratings, and the results are a mixed bag. Humana staged a dramatic comeback — jumping from 41% to 93% of members in 4+ star plans — while Alignment Healthcare cratered, dropping from 98% to just 25%. Overall, quality scores slipped industry-wide, with only 37% of MA plans earning 4 stars or above, down from 44% in 2026.
The CMS dropped its 2027 Medicare Advantage (MA) star ratings, and the results sent shockwaves through the insurance industry. Humana was the clear standout winner: after a brutal two-year slide that saw its 4+ star membership plummet to just 20% in 2026, the insurer rocketed back to 93% — a turnaround that could net it $3 billion or more in bonus revenue in 2028. Humana's stock jumped nearly 13% on the news.
On the flip side, Alignment Healthcare had a rough day. Its largest contract — covering about three-quarters of its 280,000 members — slipped below the critical 4-star threshold, leaving only 25% of members in qualifying plans (down from 98%). The insurer is pushing back, hinting at potential litigation over CMS methodology, but analysts estimate it could lose more than $170 million in 2028 revenue. Shares fell over 20%.
By the Numbers:
Why it matters: Star ratings directly drive bonus payments and rebates for insurers. With overall scores slipping, major carriers like UnitedHealth and CVS may respond by cutting supplemental benefits or raising premiums — making 2028 another tough year for seniors. Medicare open enrollment begins October 15.