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 ...
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...
Anne W. Hance
The federal government said it is giving Medicare Advantage plans the ability to require step therapy for Part B drugs, labeling it as a way to drive down drug costs by motivating pharmaceutical companies to come to the negotiating table. Step therapy — often used by private insurers — requir...
Centers for Medicare and Medicaid Services (CMS) has issued the 2010 guidelines to organizations that intend to offer Medicare Advantage and Prescription Drug plans in 2010. More than 10 million beneficiaries are enrolled in Medicare Advantage plans and more than 17 million are enrolled in Part D ...
Medicare Advantage plans may also provide enrollees access to Medicare Part B services via telehealth in any geographic area and from a variety of places, including beneficiaries’ homes, as part of their benefit packages for a plan year.
CMS released its Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies.
within the Medicare Advantage (MA), Medicare Part D, and Medicare Supplement plans market. Through anewly issued ruling,CMS has established additional requirements for Medicare Third-Party Marketing Organizations (TPMOs)involved in the marketing and individuals’ annual enrollment in these Me...
Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Medicare Advantage (MA), Medicare Part D, Medicare Physician Fee Schedule (MPFS), Medicare Physician Fee Schedule (PFS), Medicare Shared Savings Program (MSSP), Medicare Value-Based Care 0 comments HHS Finalizes Physician Payment...
Medicare Advantage plans in 2019 will be able to provide coverage for a wider variety of non-medical benefits as CMS moves to provide better coverage for social determinants of health. Social determinants of health are the conditions in places where people live, learn, work and...