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Policy Snapshot

January 5, 2026

CMS Proposed Model Test Would Lower Drug Costs for Medicare Part D

The Centers for Medicare & Medicaid Services (CMS) announced the newly proposed GUARD (Guarding U.S. Medicare Against Rising Drug Costs) Model that would lower the costs of certain prescription drugs covered by Medicare Part D to reflect prices paid in economically comparable countries.
Policy Snapshot

April 13, 2026

CMS Proposes New Standards for Electronic Prior Authorization of Drugs

The Centers for Medicare & Medicaid Services (CMS) has released the 2026 CMS Interoperability Standards and Prior Authorization for Drugs proposed rule (CMS 0062 P), advancing its ongoing effort to streamline and modernize electronic prior authorization. The proposal is intended to provide patients and...
Policy Snapshot

January 26, 2024

CMS Provides Additional Information on G2211 Code

The Centers for Medicare & Medicaid Services (CMS) has issued an MLN Matters Article on the new G2211 code. AMDA realizes that there have been questions about this code. In our communications, we understand that CMS is also developing an FAQ document. We continue to work closely with other specialty s...
Policy Snapshot

May 16, 2024

CMS Releases 2024 Measure Development Plan Annual Report

The Centers for Medicare & Medicaid Services (CMS) has posted the 2024 Quality Measure Development Plan (MDP) Annual Report, which describes progress in developing clinician quality measures to support the Quality Payment Program (QPP).
Policy Snapshot

July 11, 2024

CMS Releases CY2025 Physician Fee Schedule Proposed Rule

Last week, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the 2025 Medicare physician payment schedule. Key issues include the CY 2025 Conversion Factor, Telehealth Services, Advanced Primary Care Management Services (APCM), and Electronic Prescribing for Controlled ...

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