Pharmaceutical CommercePharmaceutical Commerce - December 2024 Volume 19 Issue 6While the program could be a good option for many, it's not a panacea. Amy Niles Many of the over 53 million people enrolled in Medicare Part D plans struggle to afford their out-of-pocket (OOP) prescription cos...
1Top plans based on KFF’s 2023 Update and Key Trends report; analysis of 2023 CMS Medicare Advantage enrollment by firm.†1.3 million people used eHealth to sign up for an insurance plan (including Medicare, Individual and Family, Ancillary, and Small Business plans) based on ...
The Centers for Medicare & Medicaid Services (CMS) released its final part two guidelines to educate consumers about the Medicare Prescription Payment Plan, the agency announced. The plan, set to launch in 2025, allows those with Part D prescription plans the option to spread the costs ...
The Centers for Medicare & Medicaid Services (CMS) has released new guidelines aimed at reducing medication costs in the US. The guidelines outline the Medicare Prescription Payment Plan, which will allow individuals with Part D prescription plans to spread the costs of their medic...
No, according to Medicare. "Because of the prescription drug law, the coverage gap ends on Dec. 31, 2024," its websitestates. The so-called "donut hole," or coverage gap, has affected almost all prescription plans. In the current calendar year, seniors could enter the donut hole once ...
December 27, 2024 Nonemergency Medical Transportation Benefit in Medicare Plans JAMA Network Open Research December 4, 2024 Participation of Behavioral Health Facilities in Medicare Accountable Care Organizations JAMA Health Forum Research November 27, 2024JAMA...
Leading provider of Blue Cross Blue Shield of New Mexico Medicare Supplement Plans, Medicare Advantage Plans, and Medicare Prescription Drug Plans.
The newly finalized rule now requires Medicare Advantage plans to do the following: Ensure that a prior authorization approval, once granted, remains valid for as long as medically necessary to avoid disruptions in care; Conduct an annual review of utilization management policies; ...
Biologics and Benefit Design: What's New For '06? With an anticipated spate of new products still on the horizon and the need to focus now on Medicare's new drug benefit, health plans and employers are more likely to tweak than overhaul biologics coverage in 2006. Key trends include hig....
Premera Blue Cross has publicly announced the company will exit the Medicare Advantage market. As of January 1, 2025, Premera will no longer offer Medicare Advantage plans. All existing Medicare Advantage members’ coverage will end on December 31, 2024. Premera Medicare Supplement plans and ...