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Cigna Healthcare

The Regulated Times

April 9, 2025

Vol. 5, Issue 2

legislation

2026 Final Rate Announcement for MA and Final Part D Program Instructions

April 9, 2025

EGWP medicaid Medicare

On April 7, CMS released the Calendar Year (CY) 2026 MA and Part D Final Rate Announcement and the Final CY 2026 Medicare Part D Program Instructions. The Administration strongly [...]

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legislation

CMS Releases Final 2026 MA Policy and Technical Rule; Declines to Finalize Coverage of GLP-1s

April 9, 2025

EGWP marketplace medicaid Medicare

On April 4, the Centers for Medicare & Medicaid Services (CMS) finalized the 2026 MA Policy and Technical Changes rule. Of note, CMS is not finalizing certain provisions from the [...]

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legislation

HHS Rescinds Richardson Waiver

April 9, 2025

EGWP marketplace medicaid Medicare

On Feb. 28, HHS issued a policy statement announcing changes to rulemaking processes for agencies within HHS. According to the statement, HHS is rescinding a requirement – known as the [...]

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legislation

Budget Reconciliation Process Continues with Senate Consideration of Revised House Resolution

April 9, 2025

medicaid

On April 5, the Senate voted 51-48 to pass a modified version of the House-passed budget resolution with reduced deficit reduction targets for Senate committees as compared to the House. [...]

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News

HHS Announces Major Reorganization and Reduction


Bipartisan Efforts Continue to Rein in Pharma’s Patent Abuses


119th Congress Continues Momentum on PBM Reform


CMS Releases 2025 Marketplace Integrity and Affordability Proposed Rule


Democratic Senators Demand Information on Telehealth Provider Affiliations with Eli Lilly and Pfizer


CMS Innovation Center Cancels Eight Models Ahead of New Strategy Announcement


Arizona Governor Signs Formulary Bill


California’s PBM Legislation Adding More Cost on Employers


Connecticut Lawmakers Seek More Regulation of Stop-Loss, PBM Practices, and AI


New York Announces Platform to File PBM Complaints Easier


Senate Finance Committee Advances Dr. Oz’s Nomination for CMS Administrator


Insights

AAF Analyzes Financial Burden of a Single-Payer System

McLaughlin Poll Finds Voters Oppose Government Intervention in the Private Market