At a high-level, the proposed rule is particularly relevant due to the anticipated increase in MA enrollment in the Trump Administration and the evolving role of broker services. With more beneficiaries opting for MA plans, there will be heightened scrutiny on how...
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CMS requested pharmacies to make patients ready for Medicare's Part D prescription drug plan enrollment period. Senior Adviser to the administrator at CMS Larry Kocot pleaded at the National Association of Chain ...
CMS noted that stakeholders raised concerns regarding ESRD payment adequacy and accuracy in recent years in light of the increase in ESRD enrollment in MA plans due to the 21st Century Cures Act, which allowed beneficiaries with ESRD to enroll in MA plans in 2021. In the CY 2023 and C...
With open enrollment on the Affordable Care Act exchanges just a few months away, the feds are investing $100 million in navigators.
The agency has also been collecting more data on race and ethnicity through voluntary MA and Part D enrollment forms and calculating risk scores using MA encounter data and traditional Medicare claims for the 2022 coverage year, according to a press release. ...
CQ fluency is honored to be working in partnership with CMS to provide accurately translated model documents including Enrollment Forms, Annual Notice of Change/Evidence of Coverage (ANOC/EOC), Formularies and Directories. In addition, we create and maintain a CMS glossary of healthcare and health...
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The lower MA premiums are expected to drive enrollment to 35.7 million by 2025 - about 51% of all Medicare beneficiaries.
CMS has long expressed concerns about marketing activities related to MA and Part D enrollment, issuing extensive sub-regulatory guidance on marketing communication, and warning repeatedly about excessive fees for enrollment (including leads), which it believes may cause abusive practices. In October of...