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Sep 27, 20242 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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Apr 8, 20248 min read
CMS’s CY 2025 Final Rule: A Quick Summary
CMS’s CY 2025 Final Rule: A Quick Summary
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Apr 3, 20243 min read
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 3, 20244 min read
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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Mar 14, 20241 min read
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
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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Jul 26, 20232 min read
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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Apr 26, 20233 min read
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 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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Apr 29, 20222 min read
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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Apr 12, 20223 min read
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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Mar 29, 20221 min read
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
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
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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Nov 2, 20212 min read
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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