CMS Streamlines Prior Authorization Process

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January 29, 2024 On January 17, the Centers for Medicare & Medicaid Services finalized the “CMS Interoperability and Prior Authorization Final Rule.” This rule aims to provide better digitization of the prior authorization process and cut down on wait times for prior authorization decisions. According to the American Medical Association, issues related to the prior……

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Part D Spending Cap and Payment Program

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February 26, 2024 Beginning in 2025, Medicare beneficiaries enrolled in Part D will not pay more than $2,000 out of pocket for Part-D-covered prescription medications. This change results from 2022’s Inflation Reduction Act and is aimed at making brand-name prescription drugs more affordable. “Too many seniors and people with disabilities can’t afford to fill their……

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