Advisory Board April 8, 2024

CMS on Thursday released a final rule for Medicare Advantage (MA) and Part D plans for 2025, which will enhance standards for marketing, prior authorization, and network adequacy.

Policy primer: A guide to MA plan types and how they impact care

New standards increase consumer protections

As of March 1, MA plans covered 33.8 million people, a 6.4% increase from a year before. According to CMS, the new policies in the final rule will improve the MA program and offer greater protections to consumers.

In the final rule, CMS set a cap on the compensation amount MA or Part D plans can pay agents or brokers to prevent them from guiding patients to plans that don’t best suit their needs....

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Patient / Consumer, Provider
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