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Contract Year 2020 Medicare Advantage and Part D Flexibility Final Rule (CMS-4185-F)
On April 5, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates the Medicare Advantage (MA or Part C) and Medicare Prescription Drug Benefit (Part D) programs by promoting innovative plan designs, improved quality, and choices for patients.
Fact sheetCMS finalizes policies to bring innovative telehealth benefit to Medicare Advantage
Today, the Centers for Medicare & Medicaid Services (CMS) finalized policies that will increase plan choices and benefits, including allowing Medicare Advantage plans to include additional telehealth benefits.
Press releaseClaim Rejection and Denials for Providers on the Preclusion List to begin on April 1, 2019
Fact sheet
CMS finalizes Medicare Advantage and Part D payment and policy updates to maximize competition and coverage
Press release
CMS Updates Drug Dashboards with Prescription Drug Pricing and Spending Data
This Administration’s version of the drug dashboards adds information on the manufacturers that are responsible for price increases and includes pricing and spending data for thousands more drugs across Medicare Parts B and D and Medicaid.
Press releaseOpioid Prescribing Mapping Tool Improved with Medicaid and Rural Data
New features offer local communities greater transparency into opioid prescribing rates.
Press release2020 Medicare Advantage and Part D Advance Notice Part II and Draft Call Letter
On January 30, 2019, the Centers for Medicare & Medicaid Services (CMS) released Part II of the 2020 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part D Payment Policies (the Advance Notice), and Draft Call Letter.
Fact sheetCMS proposes Medicare Advantage and Part D payment and policy updates to maximize competition and coverage
Today, the Centers for Medicare & Medicaid Services (CMS) released proposed changes that will take significant steps in continuing the agency’s efforts to maximize competition among Medicare Advantage and Part D plans.
Press release2020 Medicare Advantage Part I Advance Notice – Risk Adjustment
Today, the Centers for Medicare & Medicaid Services (CMS) released Part I of the 2020 Advance Notice of Methodological Changes for Medicare Advantage Capitation Rates and Part D Payment Policies (the Advance Notice), which contains key information about proposed updates to the Part C Risk Adjustment Model and the use of encounter data.
Fact sheet