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Surprise! Tri-Agencies Meet Deadline with First Set of Surprise Billing Rules, With More to Come | Groom Law Group, Chartered
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Monday, February 22, 2021
On January 19, 2021, the Centers for Medicaid and Medicaid Services (CMS) issued a final rule addressing Medicare Part C – Medicare Advantage Plans and Part D Prescription Programs. The rule is far-reaching, but I want to touch on some of the provisions particularly relevant to consumer education and access.
Medicare Advantage Plans and Prescription Programs
The rule codifies many of the agency’s marketing guidelines but has been criticized for blurring the line between educational events and marketing events held by insurers and managed care organizations. Under the new rule, plan sponsors can hold an event advertised as educational and immediately thereafter, or essentially within the event itself, solicit enrollees in their plans. The agency walked back prior guidelines that had required clear separation in time and venue between educational events and those that are meant to market specific plans.
Human Services Dept. Publishes 2021 Data Book Volume 2
NMHSD News:
SANTA FE New Mexico Human Services Department announces the publication of the department’s second Data Book Volume 2.
It is a summary of social, economic, and health statistics of our state. The Data Book presents, in one reference document, a diversity of information and is designed to facilitate comparisons of national, state, and county-level data.
“The 2021 Data Book contains an abundance of information that can be used to drive evidence‐based policy and legislation to positively transform the lives of New Mexicans,” said Cabinet Secretary David R. Scrase, M.D. “Transparency and fact-based information helps us identify our state’s areas of greatest need to develop policy solutions that address those needs.”
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