CMS has released itsfinal rulefor Contract Year 2022 Medicare Advantage and Part D which requires Part D plans to offer a real-time benefits comparison tool. The agency estimated that the rule’s alterations would save the federal government $75.4 million over the course of t...
The Final Rule is effective on January 1, 2025, and, unless otherwise specified, applies to rebate calculations for applicable periods beginning on or after January 1, 2023, for Part B rebatable drugs and October 1, 2022, for Part D rebatable drugs. Medicare Part...
On November 2, 2021, the Centers for Medicare and Medicaid Services (“CMS”)issuedits Calendar Year (CY) 2022 Physician Fee Schedule (“PFS”) Final Rule. In this post, we sample some key highlights from the Final Rule.For more detail, take a look at ourprevious ...
The Final Rule is effective on January 1, 2025, and, unless otherwise specified, applies to rebate calculations for applicable periods beginning on or after January 1, 2023, for Part B rebatable drugs and October 1, 2022, for Part D rebatable drugs. Medicare ...
This part of the final rule will go into effect for plans that start on or after January 1, 2022. “In this rule, HHS will also allow issuers that empower and incentivize consumers through plans that include provisions encouraging consumers to shop for services from lower-cost,...
The second2022 Notice of Benefit and Payment Parameters final rulewas released Friday. It adds provisions to the first part of the final rule,which was adopted in January. presented by Sponsored Post How to Improve Employee Benefits While Reducing Insurance Costs ...
CMS final rule for inpatient payment services less draconian than expected; transplant centers urged to be cautious
The Centers for Medicare & Medicaid Services (CMS) on November 1, 2022, released the calendar year2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule. The Final Rule includes proposals to update payment rates, policies and regulat...
The PACE Final Rule gives CMS additional grounds on which to deny PACE applications, imposes staff immunization requirements and alters the grievance resolution process.
(the Final Rule). The Final Rule stems from the CY 2025 Medicare Advantage and Part D proposed rules issued in November 2023 and CY 2024 Medicare Advantage and Part D proposed rules published on December 14, 2022. It continues the trend of regulatory enhancements to the Medicare...