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CMS Issues Final Rule Implementing Provisions to Curb Fraud and Abuse and Improve Quality of Care for Medicare Advantage and Medicare Part D

On May 19, 2014, the Centers for Medicare and Medicaid Services (CMS) issued a final rule that implements provisions to curb fraud and abuse and improve the quality of care within the Medicare Advantage and Medicare Part D prescription drug programs.  The key provisions include requiring Part D prescribers to enroll in Medicare, giving CMS the authority to revoke a provider's participation in the Medicare program for abusive prescribing practices, expansion of incentives for participation in high-value activities, and greater release of CMS' Part D data.  The final rule is projected to save approximately $1.615 billion from 2015-2024. 

Click here to read CMS' Fact Sheet on the Final Rule

Click here to download the Final Rule