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New 2025 Medicare Advantage Proposed Rule Further Scrutinizes Marketing Practices, Expands Behavioral Health, And Promotes Health Equity - Healthcare

On November 15, CMS published a proposed rule, which, as currently written, has potentially significant implications for Medicare Advantage (MA) plans and Medicare Prescription Drug Benefit Program (PDP).

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New 2025 Medicare Advantage Proposed Rule Further Scrutinizes Marketing Practices, Expands Behavioral Health, and Promotes Health Equity | Bass, Berry & Sims PLC

On November 15, CMS published a proposed rule, which, as currently written, has potentially significant implications for Medicare Advantage (MA) plans and Medicare Prescription Drug.

Berry simsMedicaid servicesMedicare prescription drug benefit programHealth equity analysis of utilization management policiesCommunity mental health centersOutpatient behavioral healthMedicare advantageContract yearUtilization managementBroker compensationNetwork adequacy requirementsBehavioral healthcare providersAnnual health equity analysisUtilization management policiesDual eligibles who receive medicareAdjustment data validation

Medicare Program; Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications

Medicare Program; Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications
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Updates to the Translation and Accessibility Standards for Required Materials and Content in the Medicare 2024 Final Rule | Ankura

Medicare Advantage Organizations and Part D sponsors have a responsibility to ensure they offer and provide their members and potential enrollees with content and materials in alternate.

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CMS proposal offers long-awaited fix for Medicare Advantage appeals

Skilled nursing providers would get a new, improved appeals process for Medicare Advantage denials under a proposal issued late Monday by the Centers for Medicare & Medicaid Services.

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