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With less than one month to respond, many details unknown, and multiple impending changes to the Part D program, the Part D Payment Modernization Model’s Request for Applications leaves more questions than answers.

This paper examines Minimum Data Set frequency reports and U.S. Census Bureau American Community Survey population data to compare nursing home usage in states with managed long-term services and supports (MLTSS) to states without MLTSS.

A discussion of some of the most important considerations for Medicare Advantage risk-sharing arrangements that include Part D coverage.

One of the most important ways plan sponsors can lower pharmacy costs is to look for ways to improve their pharmacy benefit manager contract.

Understanding the implications of Republican Medicaid reform proposals requires consideration of several factors.

This paper outlines key considerations for plan sponsors as they prepare for proposed changes to the Medicare Part D program.

This article summarizes the proposals, released December 18, 2015, by the Senate Finance Committee that, if adopted, would have a wide-ranging impact on traditional Medicare, Medicare Advantage, and Medicare accountable organizations.

Members of the Medicare Payment Advisory Commission may recommend changing aspects of the risk-sharing protections extended by the Centers for Medicare and Medicaid Services to Medicare Part D plan sponsors.