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-Inclus...
The Centers for Medicare & Medicaid Services (CMS)releasedits Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies on Jan. 31, 2024, that would update program policies for Medicare Advantage...
“The lack of transparency in Medicare Advantage managed care plans deprives patients of important information that helps them make informed decisions," said HHS Secretary Xavier Becerra in a statemnet. "It deprives researchers and doctors of critical data to evaluate problems and trends in patient...
CMS looked to refine the Medicare Advantage Star Ratings system and the Medicare Part D Star Ratings by implementing the Tukey outlier deletion to erase outliers that exert too much influence over the star ratings. Member experience will have more weight in the reformed star ratings sys...