CMS Proposes Rule That Would Impact Drug Coverage, Prior Authorization

Healthcare Innovation December 15, 2022
David Raths

Rule would also establish a health equity index in the Star Ratings program that would reward excellent care for underserved populations by Medicare Advantage and Medicare Part D plans

The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule to strengthen Medicare Advantage and Medicare Part D prescription drug coverage and prior authorization rules. The rule also proposes changes focused on misleading marketing, behavioral health and health equity.

“We are taking feedback from thousands of Americans and turning it into concrete action to strengthen Medicare for the millions of Americans who rely on it,” said HHS Secretary Xavier Becerra, in a statement. “From streamlining prior authorization to cracking down on misleading marketing, we are committed to ensuring...

Today's Sponsors

Today's Sponsor