HealthIT Answers January 13, 2025
By Courtney Breece, Associate Vice President, Payer, Product, Inovalon
The Medicare landscape is poised for significant changes with the release of proposed rules from the Centers for Medicare & Medicaid Services (CMS) on November 25, 2024. These rules, set to impact the contract year 2026, aim to reshape key elements of Medicare Advantage (MA), Medicare Prescription Drug Programs (Part D), and other Medicare services. If implemented, the changes will have wide-ranging implications for quality and stars managers, presenting both challenges and opportunities to enhance care delivery and compliance.
With that in mind, let’s break down these proposed rule changes.
Which Medicare programs will be affected by the CMS 2026 Proposed Rules?
In the announcement, the proposed rules would affect several...
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