Medicare & Medicaid
Under the voluntary model, Part D plans would offer a low, fixed copayment to patients picking their coverage.
CMS releases initial guidance on the Medicare Prescription Drug Inflation Rebate Program.
The company doesn't expect to grow MA in 2024, and it will likely shrink a little, says EVP and CFO Andrew Asher.
More than $1.7 billion in funds recovered involved the healthcare industry.
Portions of the final rule must be set aside, the federal court has ruled.
The RADV final rule comes after increasingly high profile instances of apparent over coding from Medicare Advantage Organizations.
The Advance Notice with Proposed Payment Updates incorporates risk adjustment policies released earlier this week.
AHIP says the rule remains "unlawful" and "fatally flawed."
Starting March 31, beneficiaries no longer covered by Medicaid's continuous enrollment requirement can get marketplace plans.
The omnibus spending bill continues telehealth waivers for two years past the PHE, but was silent on the issue of reimbursement.