CMS Draft Legislation for CY 2026

 

The Friday Five for January 17, 2025:

• TikTok Ban & Popular Alternatives
• Part D Cost-Sharing
• Successor Regulation Rules
• Creditable Coverage Determination
• MA and Part D Advance Notice

 

TikTok Ban & Rising Alternatives:

“A Possible Tiktok Ban Is Just Days Away. A List of Other Apps Available.” Apnews.Com, AP News, 14 Jan. 2025, apnews.com/article/tiktok-alternative-social-media-platforms-ban-49af1bfd2a1543a09b327544c380f217.

Rosenblatt, Kalhan. “Chinese TikTok Alternative RedNote Tops App Charts Ahead of Potential TikTok Ban.” NBCNews.Com, NBCUniversal News Group, 14 Jan. 2025, www.nbcnews.com/tech/social-media/rednote-chinese-tiktok-alternative-tops-app-charts-ahead-ban-rcna187497.

Habeshian, Sareen. “Tiktok Ban Timeline: Here’s Where Things Stand.” Axios.Com, Axios, 13 Jan. 2025, www.axios.com/2025/01/13/tiktok-ban-timeline.

“TikTok Prepares for US Shutdown from Sunday, Sources Say.” Reuters.Com, Reuters, 15 Jan. 2025, www.reuters.com/technology/tiktok-preparing-us-shut-off-sunday-information-reports-2025-01-15/.

 

CMS Draft CY 2026 Part D Redesign Program:

“CMS Releases Proposed 2026 Payment Policy Updates for Medicare Advantage and Part D Programs.” CMS.Gov, Centers for Medicare & Medicaid Services, 10 Jan. 2025, www.cms.gov/newsroom/press-releases/cms-releases-proposed-2026-payment-policy-updates-medicare-advantage-and-part-d-programs.

“Draft CY 2026 Part D Redesign Program Instructions Fact Sheet.” CMS.Gov, Centers for Medicare & Medicaid Services, 10 Jan. 2025, www.cms.gov/newsroom/fact-sheets/draft-cy-2026-part-d-redesign-program-instructions-fact-sheet.

“Draft CY 2026 Part D Redesign Program Instructions.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/draft-cy-2026-part-d-redesign-program-instructions.pdf. Accessed 14 Jan. 2025

“Final CY 2025 Part D Redesign Program Instructions.” Cms.Gov, Centers for Medicare & Medicaid Services, 10 Jan. 2025, www.cms.gov/files/document/final-cy-2025-part-d-redesign-program-instructions.pdf.

 

CMS 2026 Medicare Advantage and Medicare Part D Advance Notice:

“2025 Medicare Advantage and Part D Advance Notice Fact Sheet.” Cms.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/2025-advance-notice-fact-sheet-and-faq.pdf. Accessed 14 Jan. 2025.

“2025 Medicare Advantage and Part D Rate Announcement.” CMS.Gov, Centers for Medicare & Medicaid Services, 1 Apr. 2024, www.cms.gov/newsroom/fact-sheets/2025-medicare-advantage-and-part-d-rate-announcement.

“2026 Medicare Advantage and Part D Advance Notice Fact Sheet.” CMS.Gov, Centers for Medicare & Medicaid Services, 10 Jan. 2025, www.cms.gov/newsroom/fact-sheets/2026-medicare-advantage-and-part-d-advance-notice-fact-sheet.

“Advance Notice of Methodological Changes for Calendar Year (CY) 2026 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies.” Cms.Gov, Centers for Medicare & Medicaid Services, 10 Jan. 2025, www.cms.gov/files/document/2026-advance-notice.pdf.

Goldman, Maya. “Biden Proposes $21B Pay Increase for MA Insurers.” Axios.Com, Axios, 13 Jan. 2025, www.axios.com/2025/01/13/biden-proposes-insurer-pay-increase .

Pifer, Rebecca. “CMS Revised Medicare Advantage Star Ratings. Here’s Which Payers Benefited.” Healthcaredive.Com, Healthcare Dive, 9 July 2024, www.healthcaredive.com/news/cms-revised-medicare-advantage-star-ratings-plan-scores/720697/.

 

Resources:

2025 ACA Enrollment Updates: https://lnk.to/asgf20250110

CMS Announces Part D Savings & 2026 Maximum Fair Prices for First 10 Medicare-Negotiated Drugs: https://lnk.to/BkBrUZ 

How to Find Balance Between Life & Work: https://ritterim.com/blog/how-to-find-balance-between-life-and-work/

Instagram Basics for Insurance Agents: https://lnk.to/asg634  

The Medicare Part D Creditable Coverage Determination Changes for 2025 or Beyond: https://ritterim.com/blog/the-medicare-part-d-creditable-coverage-determination-changes-for-2025-or-beyond/

Top 5 Apps of 2024: https://lnk.to/QkLB8T

Why Gen Z is a Good Fit for Selling Insurance: https://lnk.to/asg640

 

Follow Us on Social!

Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://twitter.com/RitterIM and Youtube, https://www.youtube.com/user/RitterInsurance    

Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel 

Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/

 

Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.

 

Not affiliated with or endorsed by Medicare or any government agency.