tci Medicare Compliance & Reimbursement - 2016 Issue 7

Learn What Else CMS Has in Store for MA & Part D Plans

CMS wants to waive the bid requirements for MA EGWPs. In addition to the opioid use provision, the 2017 Advance Notice and Draft Call Letter for the Medicare Advantage (MA) and Part D programs also contains a variety of other proposed policy and payment changes. According to a Feb. 29 analysis by attorneys Susan Berson, Jordan Cohen, Bridgette Keller, and Lauren Moldawer of the law firm Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C., these changes include: Net Payment Increase: The Advance Notice policy changes to improve payment accuracy will increase MA and Part D plan revenue by...

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