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Medicare Advantage Prior Authorization and Step Therapy for Part B Drugs

Today, the Centers for Medicare & Medicaid Services (CMS) introduced much-needed competition and negotiation into the market for physician-administered and other Part B medications that will result in better deals and lower drug costs for patients. As part of the agency’s ongoing activities to deliver on President Trump’s promises outlined in his American Patients First Blueprint, CMS will provide Medicare Advantage plans the option of applying step therapy for physician-administered and other Part B drugs in a way that lowers costs and improves the quality of care for Medicare beneficiaries.
Fact Sheet

Speech: Medicare Remarks by CMS Administrator Seema Verma at the Commonwealth Club of California

I’d like to talk to you about things on which we all agree, like the future of our healthcare system, and Medicare. And if we have time we can touch quickly on world peace before we all leave.
Press Release

MEDICARES DEC. 7TH OPEN ENROLLMENT DEADLINE NEARS

As the December 7th deadline grows closer for people with Medicare to change or choose their drug and health plan coverage for next year, the Centers for Medicare and Medicaid Services and its network of partners and advocates are available to assist with counseling and enrolling beneficiaries on their choices for 2012.
Press Release

SENIORS SAVE MORE THAN $1.2 BILLION ON PRESCRIPTIONS THANKS TO THE AFFORDABLE CARE ACT

So far this year, more than 2.2 million people with Medicare have saved more than $1.2 billion on their prescriptions, for an average of $550 per person, the Centers for Medicare & Medicaid Services announced today.
Press Release

CMS PROPOSES IMPROVEMENTS TO MEDICARE

The Centers for Medicare & Medicaid (CMS) has proposed revisions to the Medicare Advantage program and prescription drug benefit program (Part D) that would implement new benefits under the Affordable Care Act and increase patient protections.
Press Release

MEDICARE'S 2012 OPEN ENROLLMENT DRUG AND HEALTH PLAN DATA GOES LIVE SATURDAY, OCT. 1

In advance of the new, earlier annual enrollment period, people with Medicare can begin reviewing plan benefit and cost information on Saturday, October 1st, 2011.
Press Release

MEDICARE REDUCES IMPROPER CLAIMS PAYMENTS BY HALF

Aggressive oversight and new improvement efforts have cut the number of improper fee-for-service Medicare claims payments by half in one year, from 10.1 percent in 2004 to 5.2 percent in 2005, a $9.5 billion reduction in improper payments, Centers for Medicare & Medicaid Services (CMS) Administrator Mark B. McClellan, M.D., Ph.D., announced today.
Press Release

NEW DRUG COVERAGE IN CALIFORNIA TO INCLUDE OPTIONS FOR ADDITIONAL BENEFITS AND SAVING MONEY

People with Medicare in California will have a range of choices for prescription drug coverage to suit their individual needs, including plans that help save money or offer more coverage than Medicare’s standard drug benefit, the Centers for Medicare & Medicaid Services (CMS) announced today.
Press Release

NEW DRUG COVERAGE IN COLORADO TO INCLUDE OPTIONS FOR ADDITIONAL BENEFITS AND SAVING MONEY

People with Medicare in Colorado will have a range of choices for prescription drug coverage to suit their individual needs, including plans that help save money or offer more coverage than Medicare’s standard drug benefit, the Centers for Medicare & Medicaid Services (CMS) announced today.
Press Release