Brokers, TPMOs Sue Over Fixed Fee, Contract Restrictions In Final MA, Part D Reg

By Amy Lotven / May 23, 2024 at 8:16 PM
Groups representing agents and brokers and third-party marketing organizations (TPMOs) are asking a federal district court in Texas to block CMS from implementing provisions in the recently finalized Medicare Advantage and Part D rule that redefine how the industry is compensated by establishing a new fixed fee for enrollment and administrative services as well as restricting certain contracts, which the plaintiffs say violates the Administrative Procedure Act in multiple ways. Council for Medicare Choice, which represents third-party marketing organizations, along...


Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.