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- Contract Year 2025 Policy and Technical Changes to the Medicare . . .
The proposed rule would reduce cost shifting to Medicaid, increase payments to safety net providers, expand dually eligible enrollees’ access to providers, and protect dually eligible enrollees from unaffordable costs
- May 2025 CMS Policy Updates: What Payers and Providers Need to Know
CMS policy updates in May 2025 reshape Medicare—from drug pricing to MA audits Learn what payers and providers can do now to stay compliant
- Medicare and Medicaid Programs; CY 2025 Payment Policies Under the . . .
Search the Federal Register Legal Status
- CMS Proposed Rule on 2025 Policy and Technical Changes to Medicare . . .
On November 6, CMS released their annual Medicare Advantage (MA) and Part D Proposed Rule for 2025 (fact sheet) which governs requirements for MA and Part D plans
- Impacts of 2025 CMS Final Rule Changes: What to Expect
These rule changes will have substantial implications for healthcare providers and their reporting obligations New compliance standards will demand proactive planning and adaptation Technology integration requirements will become more rigorous, especially in interoperability
- CMS Proposed Rule: Top 5 Takeaways for Medicare Advantage - Rebellis
CMS has proposed updates to network adequacy standards in an effort to enhance behavioral health care services for plan enrollees through a new statutory category called “Outpatient Behavioral Health,” for services specific to marriage and family therapists (MFTs) and mental health counselors (MHCs) to include Medicare enrolled addiction or drug
- CMS Finalizes CY 2025 Policy Changes for Medicare . . . - Applied Policy
Due to concerns with the currently highly consolidated MA marketplace and the impact of current compensation for broker and agents on beneficiary plan choice, CMS finalizes policies to: Eliminate the regulatory framework that currently permits separate administrative payments to brokers and agents
- 2025 CMS Final Rule: 5 Key Updates for Health Plans | Icario
Discover key changes in the 2025 CMS Final Rule for Medicare Advantage plans Learn about member experience, benefits, risk adjustment, and more
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