Part D

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Latest News

Sep 272 min read

The Impact of GLP-1s Medications on Health Plans

Recent statistics from the CDC show more than 38 million people in the US have diabetes and up to 9 million of that number as...

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CMS’s CY 2025 Final Rule: A Quick Summary

Apr 88 min read

Compliance

CMS’s CY 2025 Final Rule: A Quick Summary

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CMS’s CY 2025 Rate Announcement: Key Takeaways

Apr 33 min read

Strategy

CMS’s CY 2025 Rate Announcement: Key Takeaways

The Centers for Medicare and Medicaid Services (CMS) published the Calendar Year (CY) 2025 Medicare Advantage (MA) Capitation Rates and...

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Apr 34 min read

Part D

CMS’s Final CY 2025 Part D Redesign Program: The Big Five Takeaways

On April 1, 2024, CMS issued their Final Calendar Year (CY) 2025 Part D Redesign Program Instructions (draft instructions issued...

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Webinar: Medicare Prescription Payment Plan (M3P) of the Inflation Reduction Act (IRA)

Mar 141 min read

Part D

Webinar: Medicare Prescription Payment Plan (M3P) of the Inflation Reduction Act (IRA)

Join our webinar on Mar 19, 2024 at 1:00 PM EDT. Registration Beginning in 2025 all Medicare Part D plans must offer the option to pay...

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Sep 19, 20233 min read

Part D

GAO Report on Rebates in Medicare Part D Program

The United States GAO (General Accountability Office) released their report on Rebates in the Medicare Part D Program this month...

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The Inflation Reduction Act of 2022...Winter is Coming

Jul 26, 20232 min read

Part D

The Inflation Reduction Act of 2022...Winter is Coming

Looking ahead to 2025 for Part D benefits, things don’t look too rosy for health plans. The Inflation Reduction Act of 2022 will be...

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It’s That Time Again: MTM Program Submission

Apr 26, 20233 min read

Compliance

It’s That Time Again: MTM Program Submission

2024 Submission The 2024 Medication Therapy Management Program (MTMP) submission date is June 7 and the MTMP attestations are due June...

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Aug 16, 20222 min read

Part D

Part D Benefit Administration Testing (BAT)

Part D Pharmacy Directors and Formulary administrators, Rebellis is ready to assist you with your 2023 BAT testing! Benefit...

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What is your Medication Therapy Management Program really doing for your members?

Apr 29, 20222 min read

Part D

What is your Medication Therapy Management Program really doing for your members?

Since the Comprehensive Medication Review (CMR) completion rate became a Star measure, Part D sponsors have devoted internal and vended...

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2023 MA and Part D Final Rate Announcement Includes 8.5% Revenue Boost, Increased Star Ratings

Apr 12, 20223 min read

Compliance

2023 MA and Part D Final Rate Announcement Includes 8.5% Revenue Boost, Increased Star Ratings

The Centers for Medicare and Medicaid Services (CMS) published the Announcement of Calendar Year (CY) 2023 Medicare Advantage (MA)...

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Have you Implemented and Tested the 2022 Audit Protocols?

Mar 29, 20221 min read

Compliance

Have you Implemented and Tested the 2022 Audit Protocols?

Now that we are through the gates of AEP/OEP season, it’s time to focus on key upcoming events: Program Audits and Timeliness Monitoring...

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Mar 23, 20223 min read

Part D

Rethinking Formularies

The majority of Medicare Advantage Part D (MAPD) health plans utilize a “template formulary” configured by their PBM (Pharmacy Benefit...

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Feb 25, 20221 min read

Training

Rebellis Group is Pleased to Offer a Comprehensive MA and Part D Training Solution

Rebellis Academy offers online training to suit all organizational needs. Select from our out-of-the box courses, provide your own, or...

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Part D Rejected Claims Review: An Ounce of Prevention is Worth a Pound of Cure

Nov 2, 20212 min read

Operations

Part D Rejected Claims Review: An Ounce of Prevention is Worth a Pound of Cure

Co-Authored by Debra Devereaux and Roxanne Newland Where Medicare programs are concerned, no platitude could be more relevant. CMS...

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