Last Wednesday, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that would continue the reforms around prior authorization and marketing practices for Medicare Advantage and Part D plans. The new rule is another step in the Biden administration's efforts to crack down on the Medicare Advantage marketplace's...
It's safe to say that Medicare Advantage is now a well-established industry all its own -- within but separate from both the Medicare program and commercial insurance. With this new market dominance, the Medicare Advantage industry is now facing the same things all major industries must deal with: increased oversight, regulation and...