Stay ahead with essential insights into the latest CMS Proposed Rule impacting Medicare Advantage and Part D. This course offers detailed, actionable guidance on Section 6219 (reducing Part D cost-sharing for low-income beneficiaries), Section 6220 (REAL Health Providers Act: provider directory accuracy and enrollee protections), and Section 6224 (new accountability standards for Pharmacy Benefit Managers). Learn what’s changing in network transparency, copayment structures, PBM compensation, and compliance expectations—critical for providers, plans, pharmacies, and industry consultants.
In this course you will learn the following:
* Understand the purpose and intent of the proposed rule and its statutory basis.
* Recognize the opportunities for public participation and comment.
* Identify the key provisions and anticipated impacts of the proposed rule.
* Appreciate the potential for changes prior to finalization based on stakeholder input.
* Analyze the regulatory, operational, and economic implications for affected entities.
