CMS Proposes Reforms to Enhance Transparency and Affordability in Medicare Advantage and Part D

The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule aimed at improving Medicare Advantage provider directory accuracy, establishing transparency and compensation requirements for Pharmacy Benefit Managers (PBMs), and delivering enhanced cost-saving protections for low-income Medicare beneficiaries. The proposal requires plans to verify and update provider directory information every 90 days and report accuracy scores, which will be publicly displayed.