Policy & Medicine May 31, 2024
On April 4, 2024, the Centers for Medicare & Medicaid Services (“CMS”) issued the contract year 2025 Medicare Advantage and Part D final rule. In addition to finalizing its CY 2025 proposed rule, CMS also addressed several key provisions that remained from the CY 2024 proposed rule. Additionally, on April 1, 2024, CMS released the Announcement of CY 2025 Medicare Advantage Capitation Rates and Part C and D Payment Policies. The Rate Announcement is released on an annual basis and includes updates to the capitation and risk adjustment methodologies used to calculate MA plan payments, as well as other payment policies that impact Part D.
Final Rule
The final rule updates CMS’s existing regulations governing the compensation that agents...
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