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Pharmacy Benefit Manager Reform: What’s on the Horizon?

McDermott Will & Emery Employee Benefits

Congress and other policymakers continue to seek opportunities to lower costs for patients and the federal government. Pharmacy benefit managers (PBMs) are a key stakeholder in the drug supply chain, functioning as intermediaries between insurance providers and pharmaceutical manufacturers. appeared first on EMPLOYEE BENEFITS BLOG.

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CMS Releases CY 2025 Advance Notice for Medicare Advantage and Part D

McDermott Will & Emery Employee Benefits

On January 31, 2024, the US Centers for Medicare & Medicaid Services (CMS) released the Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and D Payment Policies. CMS also released a press release and fact sheet.