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Specifically, CMS is proposing to codify with limited modification policies set forth in guidance for the Medicare Prescription Drug Inflation Rebate Program by adding new parts 427 and 428 to title 42, chapter IV of the Code of Federal Regulations for Part B and Part D, respectively, and welcomes comments on these proposals

(20) How can the model proactively address concerns related to increased consolidation, ensuring that integration efforts do not lead to reduced ( competition and potential negative impacts on healthcare quality and costs

(e) Estimated Burden for Third Party Intermediary Plan Audits In aggregate, as shown in Table 89, we assume that 89 third party intermediaries will submit plan audits for the CY 2025 performance period/2027 MIPS payment year (35 targeted audits, 28 participation plans, 20 CAPs, and 6 transition plans)

CMS believes that a restatement of each data element included in proposed 428.401(d)(1) to reconcile the rebate amount provided in the Rebate Report in proposed 428.401(c) is appropriate to capture an updated rebate amount and is in line with other CMS programs that provide for a reconciliation period

The frequency can change based on your health, age, diet, and the type of product you're using