Summary
Revises Medicare Advantage, Medicare Part D, Medicare cost plan and PACE regulations, including policies on Star Ratings, marketing and communications, agent and broker compensation, health equity, D-SNPs, utilization management, network adequacy and other program areas. The rule became effective June 3, 2024, with provisions generally applicable beginning January 1, 2025, subject to stated exceptions.
Healthcare Implications
Medicare Advantage and Part D plans and supporting vendors should assess the rule’s applicable plan, utilization-management, communications and network requirements when configuring automated workflows. The specific provision, applicability date and any subsequent legal developments control the resulting compliance duties.