CMS issued its final 2025 Medicare Advantage and Part D rule April 4, setting new standards around marketing, broker payments, and prior authorization.
Policy Updates
CMS finalized several proposed changes to regulations for the ACA marketplace in 2025.
CMS has finalized a slight decrease in Medicare Advantage benchmark payments for 2025, despite large insurers reporting rising costs and utilization among MA members.
CMS finalized a slight decrease in Medicare Advantage benchmark payments for 2025.
Proposed legislation in Kentucky to create a gold carding program for prior authorization requests has failed, the Winchester Sun reported March 29.
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CMS will extend a special enrollment period for ACA coverage with the goal of getting more people losing Medicaid insured.
The Biden administration is cracking down on short-term 'junk' health plans that can leave members with poor coverage and large medical expenses.
CMS finalized new rules that are intended to eliminate barriers to Medicaid and CHIP access.
A bipartisan group of senators is introducing legislation to require states to offer integrated Medicaid and Medicare plans to dual-eligible beneficiaries.
The American Medical Association is asking for more flexibility and resources from the federal government for providers that continue to face disruptions from the Change Healthcare hack in late February.