CMS Proposes Rule to Enhance Medicare Advantage Directories and PBM Payments

The Centers for Medicare & Medicaid Services (CMS) has proposed a new rule to improve the accuracy of Medicare Advantage (MA) plans' provider directories and reform pharmacy benefit manager (PBM) payment structures. The proposal mandates MA plans update directories every 90 days and limits PBMs to flat service fees, moving away from drug price or rebate-based compensation. These changes aim to increase transparency and improve patient access to care.