Outgoing CMS leaders propose new rules to enhance transparency, accountability, and consumer protections in Medicare Advantage (MA) and Part D (PDP) plans in 2026. Key changes include covering weight loss drugs, restricting AI in prior authorization, improving provider directory access on Medicare Plan Finder, and tightening regulations...
The Biden administration brought down the hammer on Medicare Advantage insurers and their brokers when the Centers for Medicare and Medicaid Services (CMS) released the 2025 Medicare Advantage Part D final rule last Thursday.
The rule increases regulatory scrutiny on prior authorization, network adequacy standards and marketing for...
