CMS proposes public scores for Medicare Advantage provider directories, flat-fee limits for PBMs
CMS is pitching new guardrails for pharmacy benefit managers and Medicare Advantage plans under a proposed rule released Oct. 16. The proposed rule would implement sections of the Consolidated Appropriations Act of 2026. Comments are due Dec. 15. Here are eight things to know from the proposed rule: The post CMS proposes public scores for Medicare Advantage provider directories, flat-fee limits for PBMs appeared first on Becker's Payer Issues | Payer News .
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Draft Insight Angle
Auto-generated draft — review and edit before any external use.
Policy / Regulatory Changes signal via Becker's Payer Issues: "CMS proposes public scores for Medicare Advantage provider directories, flat-fee…".
Analytic angles
- Spans 2 signal categories: Policy / Regulatory Changes, Competitive / Operational Strategy.
- Compare against the current CMS rate/bid-cycle documents.
- Watch for follow-on filings from the named payers.
Draft paragraph
[DRAFT — verify before any external use] Becker's Payer Issues reports on policy / regulatory changes: CMS is pitching new guardrails for pharmacy benefit managers and Medicare Advantage plans under a proposed rule released Oct. 16. The proposed rule would implement sections of the Consolidated Appropriations Act of 2026.…
Note: This is an early signal based on public reporting. Confirm against primary sources before drawing conclusions. Market dynamics may shift as additional information emerges.