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Part D Spending Cap and Payment Program

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…

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CMS Streamlines Prior Authorization Process

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…

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Medicare Reminders for the New Year

December 21, 2023 In 2023, a few Medicare changes and updates were announced. Below outlines the updates to keep in mind as we move forward into 2024. Premiums and Deductibles…

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Medicare Annual Enrollment Ending Soon

November 28, 2023 The Medicare Annual Enrollment Period ends on December 7. Here are a few things to remember prior to enrollment. Have more questions? Take a look at our…

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2024 Medicare Part B Updates

October 24, 2023 Earlier this month, the Centers for Medicare and Medicaid Service (CMS) announced the Social Security Administration’s 2024 Medicare Part B premiums and deductibles. The standard Medicare Part…

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Medicare Drug Price Negotiation Update

September 25, 2023 At the beginning of 2023, the Centers for Medicare and Medicaid Services (CMS) announced that work had started on the Medicare Drug Price Negotiation Program. As part…

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Hawaiian Wildfires Public Health Emergency

August 23, 2023 On August 11, 2023, the Department of Health and Human Services declared a public health emergency in Hawaii due to the wildfires that began on August 8,…

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Increased PET Scan Coverage for Alzheimer’s Patients

July 21, 2023 On Monday, July 17, the Centers for Medicare and Medicaid Services (CMS) announced the proposal of increased coverage for Beta Amyloid PET scans used to diagnose Alzheimer’s…

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COVID-19 Public Health Emergency Ends

April 26, 2023 After three years, President Biden has ended the COVID-19 public health emergency in the United States. During the height of the pandemic, Medicare declared coverage for COVID-19…

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New Alzheimer’s Drug Pending Full FDA Approval

June 26, 2023 On June 1, 2023, the Centers for Medicare & Medicaid Services (CMS) announced the possibility of Medicare coverage for a new Alzheimer’s drug.   The Food and…

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Part D Coverage for Shingles and Tdap Vaccines

May 22, 2023 Medicare Part D expanded coverage for some preventative vaccines as of January 1, 2023. The Biden-Harris Administration introduced the Inflation Reduction Act in 2022, which provides coverage…

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Medicare Advantage Open Enrollment Period (OEP) Closing Soon

March 20, 2023 The Medicare Advantage Open Enrollment Period (OEP) runs each year from January 1 to March 31. During this enrollment window, those who already have a Medicare Advantage…