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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.
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Medicaid services
Medicare prescription drug benefit program
Health equity analysis of utilization management policies
Community mental health centers
Outpatient behavioral health
Medicare advantage
Contract year
Utilization management
Broker compensation
Network adequacy requirements
Behavioral healthcare providers
Annual health equity analysis
Utilization management policies
Dual eligibles who receive medicare
Adjustment data validation
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