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Top News In Utilization Management Today - Breaking & Trending Today

Medicare Advantage, Part D, and More: Proposed Rule Outlines Significant Policy and Technical Changes for CY 2025 | Epstein Becker & Green

On November 15, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule titled Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program,. ....

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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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CMS Proposes Changes to the Medicare Advantage and Part D Programs Aimed at Improving Beneficiary Protections, Access to Care, and Addressing Agent and Broker Compensation | King & Spalding

On November 6, 2023, CMS released a pre-publication version of a proposed rule (Proposed Rule) that is set to publish in the Federal Register on November 15, 2023, and that would amend. ....

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Enhancing Provider Access and Expertise for Rare Disease Care

Russell P. Gollard, MD, FACP, discusses ways to ensure access to appropriate treatment for rare diseases like hemophilia A, such as finding motivated providers with expertise and using utilization management strategies for cutting-edge care to bridge the gap between available community treatments and emerging therapies, ultimately benefiting patients. ....

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CMS Promotes Competition, Transparency, Health Equity And More In The CY2025 Medicare Advantage And Part D Proposed Rule - Healthcare

On November 6, 2023, the Centers for Medicare and Medicaid Services ("CMS") released the contract year 2025 proposed rule for Medicare Advantage. ....

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