CY2026 Medicare Advantage and Part D Proposed Rule

Event Date: 12/13/2024

Event Overview

Friday, 12/13/2024
11:00 AM CT – 12:00 PM CT (60 minutes)
Hosted by: Health Plan Alliance and Melissa Smith

CMS released a proposed rule that includes significant updates to the Medicare Advantage, Part D, and PACE programs. Join us for this timely and focused analysis of the implications of the high-impact rule on the horizon for Medicare Advantage plans. How can regional and provider sponsored payers prepare for what’s next?

In this highly focused session, our topic experts will explore:

Coverage of Anti-Obesity Medication
Enhanced Access to Care
Revised MLR Calculations
Evolving Marketing Materials Regulations
Stronger Oversight of Provider Directories
Increased Integration for Dual Eligibles

PLATFORM NOTES: The roundtable discussion will be hosted on Zoom. Please test your computer speed, microphone and camera in advance to ensure the best experience:

Zoom system check - https://zoom.us/test

Audience

Leaders with responsibility for the Medicare Advantage health plan. In addition, individual stakeholders who lead Stars, product design, and the Medicare bid process.

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Documents

12/13/2024

Recording: CY2026 Medicare Advantage and Part D Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) has unveiled a proposed rule that introduces major updates to the Medicare Advantage, Part D, and PACE programs. Melissa Smith from Newton Smith Group provides an in-depth analysis of the rule's broad implications. Key areas of focus include the inclusion of anti-obesity medications, expanded access to care, changes to Medical Loss Ratio (MLR) calculations, new regulations for marketing materials, enhanced oversight of provider directories, and greater integration for dual eligibles.

12/12/2024

Presentation: The 2026 Medicare Advantage Proposed Rule
CMS released a proposed rule that includes significant updates to the Medicare Advantage, Part D, and PACE programs. Melissa Smith, with Newton Smith Group, analyzes the far-reaching implications of the proposed rule, covering key areas such as the inclusion of anti-obesity medications, enhanced access to care, revised Medical Loss Ratio (MLR) calculations, evolving marketing materials regulations, strengthened oversight of provider directories, and increased integration for dual eligibles. Gain valuable insights into the shifts ahead and strategies to navigate these high-impact changes.