RECENT ANALYSIS
FTC Announces New HSR Thresholds and Filing Fees for 2025; Effective February 10
The Federal Trade Commission (FTC) recently announced updated jurisdictional thresholds and a revised filing fee schedule for reporting transactions under the Hart-Scott-Rodino (HSR) Act, effective February 10, 2025 (press release). Under the Clayton Act, the FTC is required to adjust HSR thresholds annually based on changes in the gross national product. Beginning February 10th, the minimum size of the transaction… (Eisen, January 13, 2025) #Costs, #Hospitals
Agency Finalizes Reforms to ACA Marketplace for 2026: Higher User Fees, Safeguards Against Fraud, Simplified Plan Choice, and More
The Centers for Medicare and Medicaid Services (CMS) released the HHS Notice of Benefit and Payment Parameters for 2026 final rule (fact sheet) – a wide-ranging rule affecting Marketplaces, qualified health plans in the individual and small group markets, as well as requirements for agents, brokers, web-brokers, direct enrollment entities, and assisters. The final rule also includes provisions that impact… (Llamas, January 13, 2025) #Affordable Care Act
CY 2026 MA and Part D Advance Notice Proposes to Increase Payments to Plans by 4.33 Percent and Continues Part D Redesign Implementation; Comments Due February 10th
The Centers for Medicare and Medicaid Services (CMS) announced the Advance Notice of Methodological Changes for Contract Year (CY) 2026 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (press release, fact sheet) and the Draft CY 2026 Part D Redesign Program Instructions (fact sheet) What it is. The Advance Notice addresses a wide array of MA and Part D-related policies and… (McClurg, January 10, 2025) #Medicare Advantage, #Prescription Drugs