Case Summary:

In Alignment Healthcare Inc. v. HHS (Docket No. 25-5239), argued before the U.S. Court of Appeals for the D.C. Circuit on February 2, 2026, Alignment Healthcare appealed a lower court ruling regarding the Centers for Medicare & Medicaid Services’ (CMS) "Star Ratings" program. The factual record focuses on CMS's use of the Tukey Outlier Rule to set quality thresholds and allegations that the agency ignored language barriers and survey reliability issues for Spanish-speaking enrollees. While the district court ordered a recalculation for one specific Arizona plan due to misprocessed member appeals, it upheld the broader statistical methodology, a finding that Alignment is now challenging at the appellate level to secure potentially billions in withheld bonus payments.

In Exafer Ltd v. Micr ...