Issue Brief (Page 3)

Executive Order_adobe_express

04/12/23

2024 Medicare Advantage and Part D Policy Changes Final Rule – FAQs on Utilization Management / Prior Authorization Section

On April 5, 2023, CMS issued a final rule that revises the Medicare Advantage (MA) rules related to several parts of the Part C and Part D programs, including Star Ratings, marketing and communications, health equity, provider directories, coverage criteria and prior authorization.

Price transparency Graphic

10/9/22

CMS’ Proposal and RFI: A National Directory for Healthcare Providers and Services

On October 5, 2022, CMS released a 42-page proposal and Request for Information (RFI) about the establishment of a National Directory of Healthcare Providers and Services (NDH).

meeting summary

09/15/22

AEOB GFE RFI General Summary Sept 15, 2022

On Wednesday, September 14, 2022, the federal agencies that oversee the health care system (HHS, DOL, and Treasury) and OPM (which oversees health insurance programs for federal employees) publicly released a 26-page Request for Information (RFI) to inform its future rulemaking on how to implement two of the No Surprises Act (NSA) requirements.