Lexology November 9, 2023
On November 6, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule regarding Contract Year (CY) 2025 Policy and Technical Changes to the Medicare Advantage (MA) and Medicare Prescription Drug Benefit Programs. Among other proposals, CMS proposed significant changes to longstanding rules on permissible payment structures for agents and brokers. Some of the proposed changes would likely go into effect in 2024 (once the final rule is effective), while others would not be effective until the 2025 contract year.
The rule will be published in the Federal Register on November 15, 2023, and comments are due by January 5, 2024.
In Depth
OVERVIEW: KEY PROPOSALS RELATED TO MA ARRANGEMENTS WITH AGENTS AND BROKERS
CMS is proposing...
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