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Medicare and Medicaid

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74 Medicare ACOs Depart
Medicare Part D Disclosures Due by March 1 for Calendar Year Plans (PDF)
[Guidance Overview] HHS OIG Proposes Anti-Kickback Safe Harbor Amendments to Regulate and Restrict the Provision of Manufacturer Remuneration to Plan Sponsors and PBMs
[Guidance Overview] HHS Proposes New Rules to Eliminate Drug Rebates and Encourage Direct Discounts
[Guidance Overview] HHS Proposes Rule Challenging Drug Manufacturer Rebates to PBMs and Payors
[Guidance Overview] Administration Releases Long-Awaited Drug Rebate Proposal
Winners and Losers Under HHS Plan to Slash Drug Rebate Deals
Estimates of the Impact of Eliminating Rebates for Reduced List Prices at Point-of-Sale for the Part D Program (PDF)
[Official Guidance] Text of HHS Proposed Regs: Removal of Safe Harbor Protection for Rebates Involving Prescription Pharmaceuticals and Creation of New Safe Harbor Protection for Certain Point-of-Sale Reductions in Price on Prescription Pharmaceuticals and Certain PBM Fees
Essential Facts About Medicare and Prescription Drug Spending
Calendar Year Health Plans Must Complete Online CMS Disclosure by March 1, 2019
Enhancing Work Incentives for Older Workers: Social Security and Medicare Proposals to Reduce Work Disincentives (PDF)
Medicare Expands Value Pay in MA and Part D Plans
GAO Report: Medicare -- Voluntary and Mandatory Episode-Based Payment Models and Their Participants
[Guidance Overview] CMS Announces New Model to Lower Drug Prices in Medicare Part D and Transformative Updates to Existing Model for Medicare Advantage
[Guidance Overview] Text of CMS Value-Based Insurance Design Model (VBID) Fact Sheet CY 2020
HHS Medicare Drug Shift Plan Could Reduce Costs Overall But Raise Them for Some
[Opinion] High Prices Drive High Health Care Spending in the U.S., But So Too Do Other Factors
ACOs Should Plan for Shorter Path to Greater Risk in CMS' Overhauled Medicare Shared Savings Program
CMS Releases 2016 Public Use File for the Medicare Current Beneficiary Survey (MCBS)
[Guidance Overview] CMS Finalizes Proposed Redesign to Medicare Shared Savings Program
[Guidance Overview] 'Pathways to Success' Update: CMS Issues Final Rule on Changes to the ACO Program
2015 Medicare Current Beneficiary Survey Annual Chartbook and Slides
[Guidance Overview] Pathways to Success: An Overhaul of Medicare's ACO Program
[Official Guidance] Text of CMS Final Regs: Medicare Shared Savings Program; Accountable Care Organizations Pathways to Success and Extreme and Uncontrollable Circumstances Policies for Performance Year 2017
Are Medicare Part D Disclosure Notices Required for an HRA or Health FSA?
CMS Office of the Actuary Releases 2017 National Health Expenditures
Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses: Highlights from the Proposed Rule
[Guidance Overview] CMS Releases Medicare Advantage and Part D Drug Pricing Proposed Rule for Contract Year 2020
Economic Analysis of 'Medicare for All'
When Is Medicare Entitlement a COBRA Qualifying Event?
[Guidance Overview] CMS Issues Proposed Rule on Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses
[Guidance Overview] Administration Proposes Strategies to Lower Pharmaceutical Prices in Medicare Part D
[Official Guidance] New CMS Online Tool Displays Cost Differences for Certain Surgical Procedures
CMS Takes Action to Lower Prescription Drug Costs by Modernizing Medicare
[Guidance Overview] Text of CMS Fact Sheet: Contract Year 2020 Medicare Advantage and Part D Drug Pricing Proposed Rule
[Official Guidance] Text of CMS Proposed Regs: Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out of Pocket Expenses
Big Change Ahead for Medicare -- and Employers Will Feel It, Too
[Guidance Overview] Drug Pricing Plan Would Tie Medicare Part B Reimbursement to International Prices
[Guidance Overview] CMS Proposes to Modernize Medicare Advantage, Expand Telehealth Access for Patients
Trump Administration Outlines Plan to Lower Pharmaceutical Prices in Medicare Part B
[Guidance Overview] CMS Proposes International Pricing Index Model for Medicare Part B Drugs
[Official Guidance] Text of CMS Notice of Proposed Rulemaking: International Pricing Index Model for Medicare Part B Drugs
Some Couples Could Need as Much as $400,000 to Cover Medicare Expenses (PDF)
[Opinion] Consumer-Facing Medicare Plan Tools Are Inaccessible and Inaccurate
[Guidance Overview] HHS Fact Sheet: What You Need to Know about Putting Drug Prices in TV Ads
[Guidance Overview] CMS Proposes Requirement that Manufacturers Disclose Drug Prices in Television Ads
[Official Guidance] Text of CMS Proposed Regs: Medicare and Medicaid Programs -- Drug Pricing Transparency
The Impact of Insurance Expansions on the Already Insured: The ACA and Medicare
[Official Guidance] CMS Announces 2019 Medicare Parts A & B Premiums and Deductibles
Doctors Give Medicare's Proposal to Pay for Telemedicine Poor Prognosis
Six More Days: October 15 Deadline for Medicare Part D Notice of Creditable Coverage
Medicare Advantage Plans Shift Their Financial Risk To Doctors
Medicare Part D Notice Required Before Oct. 15, 2018
Remarks by CMS Administrator about Burden Reduction Proposed Rule
[Guidance Overview] CMS Proposes to Lift Unnecessary Medicare Regulations and Ease Burden on Healthcare Providers
[Opinion] Medicare Shared Savings Program Produces Substantial Savings, New Policies Should Promote ACO Growth
Judge Vacates Medicare Advantage 2014 Overpayment Final Rule
CMS Greenlights Indication-Based Formulary Design
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