Lexology April 17, 2024
On April 4, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a final rule and press release revising the regulations governing the Medicare Advantage (MA) Program, Medicare Prescription Drug Benefit Program, and Programs of All-Inclusive Care for the Elderly (PACE). The final rule addresses policy and technical changes for contract year (CY) 2025 and finalizes several key provisions that were first proposed – but never finalized – in a proposed rule originally published on December 14, 2022. The final rule includes significant changes for Medicare Advantage plans, including revisions to permissible payment structures for agents and brokers, supplemental benefits, utilization management and more. The rule also includes meaningful new compliance obligations for PACE organizations, as discussed here.
McDermott...
Today's Sponsors
Today's Sponsor