At a time when they can least afford a setback, Cigna and Humana have been hit hard by the new ratings for Medicare Advantage plans issued this week by the Center for Medicaid and Medicare Services.

Cigna and Humana are both in the middle of a legal battle with the federal government over two proposed mergers. The Department of Justice is trying to block the acquisition of Cigna by Anthem as well as the acquisition of Humana by Aetna.

CMS announced that only 37 percent of Humana's MA plans earned four stars or more in 2016. The previous year, 78 percent of its plans got at least four stars.

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