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CMS rule limiting 3rd-party Medicare Advantage, Part D marketing now in effect

A CMS rule revising Medicare Advantage and Part D marketing and communication regulations went into effect June 28 to increase oversight over third-party marketing organizations. Medicare Advantage and Medicare Part D plan sponsors must comply with the new CMS rule first put forth on May 9.  Six things to know: TPMOs are now defined as “organizations and…

Aduhelm price cut, limited coverage leads CMS to lower Medicare premiums in 2023
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Aduhelm price cut, limited coverage leads CMS to lower Medicare premiums in 2023

A hefty price cut and narrow coverage determinations for Biogen’s controversial Aduhelm have led Department of Health and Human Services Secretary Xavier Becerra to order a lower premium rate for the coming year. (Biogen) Medicare Part B beneficiaries’ premiums will be lowered in 2023 to compensate for lower-than-expected spending on Biogen’s Alzheimer’s disease drug Aduhelm,…