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...
Ahead of the Medicare Open Enrollment Period, CMS hasannouncedthat Medicare Advantage premiums, benefits, and plan choices will remain relatively stable in 2024. “A top priority for CMS is to protect and strengthen the Medicare program for people with Medicare, their children, and ...
Centers for Medicare & Medicaid Services's (CMS's) Medicare Advantage (MA) program conducted by the Government Accountability Office (GAO). It examined how CMS learned that private health insurer Humana Inc. sent a letter to beneficiaries on the impact of pending health reform legislation. The ...
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 ...
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 ...
On November 26, 2024, Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule revising the Medicare Advantage (“MA”) Program (Part C), Medicare Prescription Drug Benefit Program (Part D), Medicare Cost Plan Program, and Programs of All-...
Medicare Plan Finder during the annual enrollment period (AEP). This measure would evaluate the accuracy of plan sponsors' pricing data displayed on the Medicare Plan Finder Tool and aims to gauge whether plan sponsors are substantially increasing or decreasing drug prices on Medicare Plan Find...
It would be optional for Medicare Advantage plans, which enroll about 19 million beneficiaries (a third of all beneficiaries). It would apply only to new prescriptions starting in January. Medicare enrollees would have the choice to go to an Advantage plan that did not use step therapy or to...
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 【...
With these changes set to take effect in 2025, CMS is encouraging Medicare beneficiaries to carefully review their plan options during the upcoming Open Enrollment period. Medicare.gov and the Medicare Plan Finder tool will be updated with new plan details by October 1 to help beneficiaries ...