Archive for: Medicare Advantage

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Payment Innovation: Other

MedPAC Releases 2019 Health Care Spending Data Book

On July 19, 019, MedPAC released their 2019 Health Care Spending and the Medicare Program data book.

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Payment Innovation: Innovation Center

CY 2020 MA VBID Marketing and Communications Guidelines Posted

CMMI posts CY 2020 marketing and communications guidelines for the Medicare Advantage Value-Based Insurance Design model.

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Prescription Drug: Regulation

CMS Releases Final Part D Rule

On May 16, 2018, CMS released the final Part D and Medicare Advantage rule aimed at lowering drug prices.

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Payment Innovation: Innovation Center

CMS Releases Medicare Advantage Quality Data

CMS released a report regarding disparities in quality of care received by Medicare Advantage (MA) beneficiaries.

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Payment Innovation: Other

CMS Releases Medicare Advantage Final Rate Notice and Call Letter

CMS released the final Rate Notice and Call Letter for Medicare Advantage.

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Payment Innovation: Other

Five Takeaways from March 2019 MedPAC Meeting

At their public meeting on March 7 and 8, MedPAC considered a range of Medicare payment issues. Our five takeaways from the meeting.

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Payment Innovation: Innovation Center

CMS Hosts Webinar on the VBID and Part D Payment Modernization Model

CMMI will hold a webinar on February 28, 2019, at 3 pm ET. It will provide a deep dive into the application processes and information about model designs for the Part D Payment Modernization Model and the Medicare Advantage Value-Based Insurance Design model for interested Part D sponsors and MA organizations.

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Payment Innovation: Other

Bipartisan House and Senate Letters in Support of Medicare Advantage

The House and Senate sent letters to Centers for Medicare and Medicaid Services Administrator Seema Verma in support of the Medicare Advantage program.

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Payment Innovation: Innovation Center

CMS Posts Applications for the MA VBID Model

CMS Innovation Center posts request for the applications and guidance documents for Medicare Advantage Value-based Insurance Design model

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Payment Innovation: Innovation Center

Archived Recording on the 2020 Application Cycle of MA VBID Model Webinar Now Available

Innovation Center to rebroadcast webinar on the 2020 application cycle of the Medicare Advantage Value-Based Insurance Design Model on Wednesday, January 30, 2019 from 1:00 p.m. to 2:00 p.m. EST.

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Payment Innovation: Innovation Center

CMS Releases Updates to MA VBID Demonstration

CMMI releases updates to the Medicare Advantage Value-Based Insurance Design Demonstration.

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Payment Innovation: Other

CMS Proposes Changes for MA and Part D Plans: Coverage Changes for Protected Class Drugs, Step Therapy Requirements and Greater Price Transparency for Medicare Beneficiaries

On November 26, 2018, CMS released a proposed rule that would allow for changes in 2020 to coverage of protected class drugs, establish new requirements for when MA plans may apply step therapy as a utilization management tool for Part B drugs and implement electronic tools to increase drug price transparency for Medicare beneficiaries.

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Payment Innovation: Other

CMS Releases Proposed Rule on Medicare Advantage, Medicare Part D, PAC and Medicaid

CMS releases proposed rule implementing certain provisions of the Bipartisan Budget Act of 2018.  Under this proposed rule, MA plans would be able to offer telehealth benefits beyond what is currently allowable under the traditional Medicare telehealth benefit.

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Payment Innovation: Other

LAN Releases Updated Report on APM Adoption

Health Care Payment Learning and Action Network released a new report on alternative payment model adoption.

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Payment Innovation: Other

CMS Releases 2019 Medicare Advantage and Part D Prescription Drug Quality Program Star Ratings

CMS has released Part C and Part D Star Ratings; providing information about the quality of plan choices.

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Payment Innovation: Quality Payment Program

CMS Launches MAQI Demonstration Website

The Centers for Medicare and Medicaid Services (CMS) posted a webpage dedicated to the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) demonstration.

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Payment Innovation: Quality Payment Program

CMS Advances Medicare Advantage Alternative Payment Model Demonstration

The Centers for Medicare and Medicaid Services (CMS) announced that it is pursuing a demonstration project, the Medicare Advantage Qualifying Payment Arrangement (MAQI) demonstration, which would allow clinicians involved in risk contracts in Medicare Advantage (MA) to be exempt from the Merit-Based Incentive Payment System (MIPS).

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