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Thanks to the Inflation Reduction Act, annual out-of-pocket costs will be capped at $2,100 in 2026 for people with Medicare Part D, which is the 2025 out-of-pocket cap of $2,000 indexed for inflation.
Change of Ownership (CHOW) is defined in 42 CFR 489.18 (a) and generally means, in the case of a partnership, the removal, addition, or substitution of a partner, unless the partners expressly agree otherwise, as permitted by applicable State law.
A change request in ACO-MS refers to adding new information or changing existing information in ACO-MS that may require CMS approval.
In the CY 2025 OPPS/ASC final rule, CMS is finalizing its proposals to adopt: (1) the Hospital Commitment to Health Equity measure beginning with the CY 2025 reporting period/CY 2027 program determination; (2) the Screening for Social Drivers of Health measure beginning with voluntary reporting in the CY 2025 reporting
Key proposals include revised standards relating to strengthening income verification processes; modifying eligibility redetermination procedures; removing Deferred Action for Childhood Arrivals (DACA) recipients from the definition of lawfully present for eligibility and enrollment in Marketplace and Basic Health
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