CMS Issues Proposed Transparency And Affordability Reforms In Medicare Advantage And Part D

The Centers for Medicare & Medicaid Services released a proposed rule to reform transparency and affordability within the Medicare Advantage and Part D programs. The proposals are due to recently enacted legislation contained within the Consolidated Appropriations Act, 2026. The proposed rule contains adjustments to Medicare Part D cost-sharing for low-income individuals, require Medicare Advantage organizations to ensure accurate provider directory information and modernize pharmacy benefit manager accountability. Comments are due no later than 4 p.m. Tuesday, Dec. 15. The Missouri Hospital Association published an issue brief with additional details.