Medicare & Medicaid
The state had already determined the company hadn't met readiness review requirements, regulatory filings show.
Major insurers are rolling out MA benefits for 2024, ahead of open enrollment, starting on October 15.
The lawsuit was linked to past risk adjustment submissions from certain types of patient records, some dating back more than a decade.
The drugs selected account for $50.5 billion in Part D gross covered prescription drug costs, or about 20% of the total, CMS says.
Drug manufacturers must now enter into an agreement with HHS to take part in the price negotiation process.
States must provide 12 months of continuous coverage for children under the age of 19, CMS says.
The average monthly plan premium for all MA plans is projected to change from $17.86 to $18.50, an increase of $0.64.
Grants will support mental health services and substance use disorder treatment.
These beneficiaries are also more likely to lack important resources available to manage their care, data shows.
More than 7 million have lost Medicaid coverage, with states taking widely different approaches to the redetermination process, says John Barkett.