4月4日,美国医保局(CMS)发布了2025年的Medicare Advantage和Medicare Part D的最终版规则,其中对生物类似药替代的要求明显降低,Medicare Part D的所有生物类似药替换不再明确要求CMS的提前批准,而此前这一原则仅适用于可互换的(interchangeable)生物类似药。 在此之前,任何生物药处方的变更中,CMS规定保险公司、PBM或...
MA plans and Part D sponsors are subject to Medicare Communications & Marketing Guidelines (“MCMG”), which provide guidance and examples on what qualifies as marketing material, the procedures for sponsors to submit those marketing materials, and the proper use o...
“CMS’s rapid changes to telehealth are a godsend to patients and providers and allows people to be treated in the safety of their home,”saidCMS Administrator Seema Verma. “The changes we are making will help make telehealth more widely available in Medicare Advantage and are part of larger...
The article reports that the Centers for Medicare and Medicaid Services (CMS) in the U.S. has proposed a rule that strengthens the agency's oversight requirements and penalties for Medicare Advantage plans and Part D prescription drug plans. CMS proposes clarifications to Medicare program provision...
On December 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule with technical changes for the Medicare Advantage (MA) Program and the Medicare Prescription Drug Benefit Program for Calendar Year 2026 (Proposed Rule). Citing the growing ...
CMS估计,Medicare Advantage计划将使保险金平均下降1.91至30美元,PartD计划平均月保险金下降1.20至33.50美元。CMS预测,MedicareAdvantage计划的参保人数将上升9茗,达到2040万人,占医疗保险计划参保人数的34%。 【总页数】1页(P4-4) 【关键词】CMS;美国;医疗保险计划;参保人数;服务中心;医疗补助;费用信息;保险金 【...
Traditional Medicare (Parts A and B) and Medicare Advantage (Part C, including additional vision, dental, and hearing benefits) plans aim to provide comprehensive medical benefits to American Seniors and adults with...more The Federal Funding Freeze and its Effect on Health Equity Programs ...
For Medicare Advantage plans, the average monthly premium will decrease from $18.23 in 2024 to $17 in 2025, continuing a trend of declining premiums over recent years, said CMS. This reduction, the agency said, reflects not only its payment policy updates, but also the sustained competit...
of health. Social determinants of health are the conditions in places where people live, learn, work and play that affect health risks and outcomes. The new definition opens the doors to coverage for new benefits for Medicare Advantage plans, which are projected to cover22.6 mil...
Ahead of the Medicare Open Enrollment Period, CMS has announced that Medicare Advantage premiums, benefits, and plan choices will remain relatively stable in 2024.