The Centers for Medicare & Medicaid Services’ (CMS’) final rule advances policies to promote the efficient operation of the Medicaid Drug Rebate Program (MDRP).
Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program Final Rule
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Contract Year 2025 Medicare Advantage and Part D Final Rule (CMS-4205-F)
Background On April 4, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that revises the Medicare Advantage Program, Medicare Prescription Drug Benefit Program (Medicare Part D), Medicare Cost Plan Program, Programs of All-Inclusive Care for the Elderly (PACE), and Health Read more about Contract Year 2025 Medicare Advantage and Part D Final Rule (CMS-4205-F)
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HHS Finalizes Policies to Make Marketplace Coverage More Accessible and Expand Essential Health Benefits
Today, the Biden-Harris Administration, through the U.S. Department of Health and Human Services (HHS)’s Centers for Medicare & Medicaid Services (CMS), announced policies for the Affordable Care Act Marketplaces that make it easier for low-income people to enroll in coverage, provides states the Read more about HHS Finalizes Policies to Make Marketplace Coverage More Accessible and Expand Essential Health Benefits
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HHS Notice of Benefit and Payment Parameters for 2025 Final Rule
In the U.S. Department of Health and Human Services (HHS) Notice of Benefit and Payment Parameters (Payment Notice) for 2025 final rule released today, the Centers for Medicare & Medicaid Services (CMS) finalized standards for issuers and Marketplaces, as well as requirements for agents, brokers Read more about HHS Notice of Benefit and Payment Parameters for 2025 Final Rule
Fact Sheets
Final CY 2025 Part D Redesign Program Instructions Fact Sheet
Today, the Centers for Medicare & Medicaid Services (CMS) released the Final Calendar Year (CY) 2025 Part D Redesign Program Instructions (the Final Program Instructions) concurrently with the CY 2025 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the Rate Read more about Final CY 2025 Part D Redesign Program Instructions Fact Sheet
Fact Sheets
2025 Medicare Advantage and Part D Rate Announcement
Today, the Centers for Medicare & Medicaid Services (CMS) released the Announcement of Calendar Year (CY) 2025 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the Rate Announcement). CMS’s goals for MA and Part D mirror our vision for the agency’s programs as a whole Read more about 2025 Medicare Advantage and Part D Rate Announcement
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