NABIP’s Post

Some great news! The court has issued a universal stay on some regulations within the CMS Final Rule while litigation is ongoing! Read below for some of the highlights from NABIP

Our channel partner, Don Self, is holding a webinar on 2024 #Medicare Changes on Nov. 30! You can sign up here: https://lnkd.in/gNy6CYS7 Don says: "This one will surprise people when they find out how to make every Medicare Advantage plan cover and pay at least the same amount as Medicare Part B pays. Most providers believe that MA plans can make up their own rules and we’ll be showing the exact regulations they have to follow – which puts CMS in the driver’s seat and not the MA plans." Click the link to learn more! #CMS

Let’s start the discussion.

Important details here for insurance agents!

📢 Breaking News: CMS Issues Final Medicare Rule 📢 CMS recently released the final rule on Contract Year 2025 Policy and Technical Changes to the Medicare Program. The rule is 1300 pages and makes significant changes impacting the landscape for Medicare Advantage and Part D plans, including provisions directly affecting agents, brokers, FMOs and others. Preliminary Highlights: ✔Compensation Redefinition: Despite our concerns, CMS moved forward with redefining fair market value compensation and setting $100 per new beneficiary to cover administrative expenses based simply on opinions. This is up from $31 as initially proposed. ✔Contracting Abilities: The final rule preserves the ability for FMOs to contract with carriers, a positive outcome that reflects our advocacy efforts. ✔Valuable Acknowledgment: CMS' recognition of the indispensable role of agents and brokers in this final rule underscores the importance of our collective voice and hard work. NABIP remains committed to advocating for policies that recognize the essential role of agents and brokers in the healthcare marketplace. While the final rule presents challenges, it also includes changes that reflect our advocacy efforts. Read Press Statement Here: https://lnkd.in/ejfVSDXr #NABIP #CMS #MedicareAdvantage #PartD #MedicareReg #ValueofAgents #FMOs Daniel Wright Michael Leffler Matthew Kojac Erin Nevins Ilana Arbeit J.P. Galaris Jeannie Comins-Roberts James Schutzer Andrew F. Biernat, GBDS, CWCA Jeannette Flowers Kishan Perera Deb Crouch Dennis Kropp Thomas Faist Eric Kohlsdorf Alycia Riedl Susan Rider, MS, GBHR, REBC, ASF, CSFS, CDHC, PBC, CFAA David C. Smith JD, REBC Mychal Walker, Sr. , CLTC, FRC Kelly Fristoe Jessica Brooks Woods CEO, MPM, PHR Michele DiIanni Gentile Jasmine K. David Mordo, REBC Catherine Cooper Greg Stancil Kelly Loussedes

 📢 Breaking News: CMS Issues Final Medicare Rule  📢 CMS recently released the final rule on Contract Year 2025 Policy and Technical Changes to the Medicare Program. The rule is 1300 pages and makes significant changes impacting the landscape for Medicare Advantage and Part D plans, including provisions directly affecting agents, brokers, FMOs and others. Preliminary Highlights: ✔ Compensation Redefinition: Despite our concerns, CMS moved forward with redefining fair market value compensation and setting $100 per new beneficiary to cover administrative expenses based simply on opinions. This is up from $31 as initially proposed. ✔ Abilities: The final rule preserves the ability for FMOs to contract with carriers, a positive outcome that reflects our advocacy efforts. ✔ Acknowledgment: CMS' recognition of the indispensable role of agents and brokers in this final rule underscores the importance of our collective voice and hard work. NABIP remains committed to advocating for policies that recognize the essential role of agents and brokers in the healthcare marketplace. While the final rule presents challenges, it also includes changes that reflect our advocacy efforts. #NABIP #CMS #MedicareAdvantage #PartD #MedicareReg #ValueofAgents #FMOs

Beckers sums it up! Now is the time to reduce the number of Medicare Advantage plans your system contracts with for 2025! Rate cuts are happening, our hospital clients are looking to strategically align with 1 or 2 plans next year. We can help you develop and execute your MA strategy to eliminate plans, improve yields and educate patients. Let us show you how! Learn more about how to optimize your Medicare Advantage Contracts👉 https://lnkd.in/d94uPD_Z #EllsworthConsulting #HealthcareInnovation #ConsultingServices #HealthcareLeadership #PayerNegotiations #HealthcareConsulting #HealthcareManagement #ContractNegotiation #HealthcareContracts #ContractStrategies #ContractSolutions #NegotiationSuccess

Correctly calculating the Medicare Advantage quality bonus system is critically important. However, these recalculations do not change the fact that reductions in program funding are underway due to the policies enacted by the Medicare agency over the last two years. Even though Medicare open enrollment is several months away, there are already warning signs that 33 million Medicare Advantage beneficiaries will see fewer choices and fewer benefits this fall. https://lnkd.in/eHfxPtx7

📢 Breaking News: CMS Issues Final Medicare Rule 📢 CMS recently released the final rule on Contract Year 2025 Policy and Technical Changes to the Medicare Program. The rule is 1300 pages and makes significant changes impacting the landscape for Medicare Advantage and Part D plans, including provisions directly affecting agents, brokers, FMOs and others. Preliminary Highlights: ✔Compensation Redefinition: Despite our concerns, CMS moved forward with redefining fair market value compensation and setting $100 per new beneficiary to cover administrative expenses based simply on opinions. This is up from $31 as initially proposed. ✔Contracting Abilities: The final rule preserves the ability for FMOs to contract with carriers, a positive outcome that reflects our advocacy efforts. ✔Valuable Acknowledgment: CMS' recognition of the indispensable role of agents and brokers in this final rule underscores the importance of our collective voice and hard work. NABIP remains committed to advocating for policies that recognize the essential role of agents and brokers in the healthcare marketplace. While the final rule presents challenges, it also includes changes that reflect our advocacy efforts. Read Press Statement Here: https://lnkd.in/ejfVSDXr #NABIP #CMS #MedicareAdvantage #PartD #MedicareReg #ValueofAgents #FMOs

📢 Breaking News: CMS Issues Final Medicare Rule 📢 CMS recently released the final rule on Contract Year 2025 Policy and Technical Changes to the Medicare Program. The rule is 1300 pages and makes significant changes impacting the landscape for Medicare Advantage and Part D plans, including provisions directly affecting agents, brokers, FMOs and others. Preliminary Highlights: ✔Compensation Redefinition: Despite our concerns, CMS moved forward with redefining fair market value compensation and setting $100 per new beneficiary to cover administrative expenses based simply on opinions. This is up from $31 as initially proposed. ✔Contracting Abilities: The final rule preserves the ability for FMOs to contract with carriers, a positive outcome that reflects our advocacy efforts. ✔Valuable Acknowledgment: CMS' recognition of the indispensable role of agents and brokers in this final rule underscores the importance of our collective voice and hard work. NABIP remains committed to advocating for policies that recognize the essential role of agents and brokers in the healthcare marketplace. While the final rule presents challenges, it also includes changes that reflect our advocacy efforts. Read Press Statement Here: https://lnkd.in/ejfVSDXr #NABIP #CMS #MedicareAdvantage #PartD #MedicareReg #ValueofAgents #FMOs #NABIPNN #TheBIP