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SCAN wins Medicare Advantage star ratings lawsuit against CMS
Modern Healthcare· 11 hours agoSCAN Health Plan has prevailed in a widely watched federal lawsuit brought last year against the Centers for Medicare and Medicaid Services that alleged regulators did not ...
Insurers bridle over Medicare transparency push
Politico· 52 minutes agoInsurers have countered that prior authorization can curb unnecessary spending and low-value care. The concerns come as Medicare Advantage enrollment has grown to include ...
CMS Redesigns the Medicare Part D Prescription Drug Program Beginning in 2025 | JD Supra
JD Supra· 1 day agoThe Final Program Instructions reflect a newly defined standard Part D benefit design through several changes or enhancements to the Part D program beginning in 2025. Of those changes or enhancements ...
Medicare Plan Pay Confusion Could Wreck 2025 Enrollment, Lawsuits Warn | ThinkAdvisor
ThinkAdvisor· 1 day agoMedicare plan agents, brokers, distributors and trade groups are asking the federal courts to block...
Medicare Advantage Boom: Soaring Costs & Unclear Quality
TheStreet.com· 20 hours agoThe Medicare Rights Center submitted comments on May 29 in response to a Centers for Medicare & Medicaid Services (CMS) Request for Information ...
CMS Updates IRA Landscape for Future Medicare Drug Price Negotiations | JD Supra
JD Supra· 6 days agoMedicare Drug Price Negotiation Program for initial price applicability year 2027. The program—established by the Inflation Reduction Act and currently in active negotiations ...
...Warns of Anti-Competitive Behavior by Massive Insurance Companies in Medicare Advantage That...
Sierra Sun Times· 1 day agoSenator Elizabeth Warren (D-Mass.) sent a letter to Chiquita Brooks-LaSure, the Administrator of the Centers for Medicare and Medicaid Services (CMS), responding ...
Biden's Inflation Reduction Act Unravels Medicare Part D
Forbes· 4 days agoIn May, Medicare bureaucrats released new guidance that details how they'll conduct the drug pricing...
JD Supra: Unpacking CMS’s 2025 DSNP Changes: Considerations for Medicare Advantage Organizations
JD Supra· 2 days agoAs part of its 2025 Medicare Advantage and Part D Final Rule (the Final Rule), the Centers for Medicare & Medicaid Services (CMS) made ...
Medicare drug plans are slashing drug coverage — and it’s going to impact everyone
MarketWatch via Yahoo Finance· 5 days agoThe government’s Center for Medicare & Medicaid Services, which oversees the program, “reviews and...
