What is the Medicare MMA Act?
On December 8, 2003, the President signed into law Public Law 108-173, the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003.
What does Mma stand for in medical terms?
MMA. Monomelic Amyotrophy. Disorder, Neurology, Disease. Disorder, Neurology, Disease. 5. MMA. Methyl Malonic Acid. Technology, Vitamin, Acid. Technology, Vitamin, Acid.
How often do you have to submit MMA to CMS?
MMA File Submission Procedures Medicaid agencies for each of the fifty states and the District of Columbia ("states") must submit at least one monthly file to CMS identifying all known dually eligible beneficiaries. States have the option to submit multiple MMA files throughout the month (up to one per day).
What is the MMA file?
The file is called the "MMA File" (after the Medicare Prescription Drug Improvement and Modernization Act of 2003), or State Phasedown File. Frequency of File Submissions Effective April 1, 2022, the Interoperability and Patient Access final rule requires states to submit and receive files on a daily basis.
What does MMA mean in Medicare?
The Medicare Modernization Act (MMA) included three polices to limit the financial. risks that Part D prescription drug plans (PDPs) must bear.
What is the MMA file?
Digital photo album created by Intrepid Mouse's Master Album Maker software; contains multiple images and their display properties; used for sharing pictures with friends and family; can be viewed with 3D page turning effects. MMA files store the published version of . MMP files.
What is the MMA law?
The Music Modernization Act (MMA) updates the copyright law to make statutory licensing more fair for creators and more efficient for digital music providers.
Who sponsored the Medicare Modernization Act?
The bill was introduced in the House of Representatives early on June 25, 2003 as H.R. 1, sponsored by Speaker Dennis Hastert.
How do I open a MMA file?
You're here because you have a file that has a file extension ending in . ... The Master Album Maker Photo Album File is stored in the MMA format and is affixed with MMA extension and is used by Mouse's Master Album Maker software. ... Launch a .mma file, or any other file on your PC, by double-clicking it.More items...
What was the impact of the Medicare Prescription Drug Improvement and Modernization Act?
Summary: Implementation of MMA has affected the entire healthcare continuum by reducing pharmaceutical reimbursement rates and health system revenues and increasing prescription drug copayments, emergency department visits, and hospital admissions.
What did the MMA do?
On October 11, 2018, the unanimously passed Orrin G. Hatch–Bob Goodlatte Music Modernization Act (MMA) was signed into law. The landmark legislation impacts a wide range of music, including statutory licensing of musical works and federal remedies for pre-1972 sound recordings.
When did the MMA go into effect?
October 11, 2018Hatch–Bob Goodlatte Music Modernization Act, or Music Modernization Act or MMA (H.R. 1551, Pub. L. 115–264 (text) (PDF)) is United States legislation signed into law on October 11, 2018 aimed to modernize copyright-related issues for music and audio recordings due to new forms of technology such as digital streaming.
What was notable about the Medicare Modernization Act of 2003?
The 2003 Medicare Modernization Act (MMA) is considered one of the biggest overhauls of the Medicare program. It established prescription drug coverage and the modern Medicare Advantage program, among other provisions. It also created premium adjustments for low-income and wealthy beneficiaries.
When did Medicare Part D become mandatory?
January 1, 2006The benefit went into effect on January 1, 2006. A decade later nearly forty-two million people are enrolled in Part D, and the program pays for almost two billion prescriptions annually, representing nearly $90 billion in spending. Part D is the largest federal program that pays for prescription drugs.
When was the Medicare Modernization Act implemented?
On December 8, 2003, the President signed into law Public Law 108-173, the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003.
Do I have to pay Irmaa Part D if I don't have Part D Medicare?
You're required to pay the Part D IRMAA, even if your employer or a third party (like a teacher's union or a retirement system) pays for your Part D plan premiums. If you don't pay the Part D IRMAA and get disenrolled, you may also lose your retirement coverage and you may not be able to get it back.
When did Medicare Advantage start?
Medicare Advantage plans. With the passage of the Balanced Budget Act of 1997, Medicare beneficiaries were given the option to receive their Medicare benefits through private health insurance plans, instead of through the Original Medicare plan (Parts A and B).
What is the "donut hole" in Medicare?
The "donut hole" provision of the Patient Protection and Affordable Care Act was an attempt to correct the issue.
What is Medicare Part D?
Main article: Medicare Part D. The MMA's most touted feature is the introduction of an entitlement benefit for prescription drugs, through tax breaks and subsidies. In the years since Medicare's creation in 1965, the role of prescription drugs in patient care has significantly increased.
When was Medicare Modernization Act enacted?
Signed into law by President George W. Bush on December 8, 2003. The Medicare Prescription Drug, Improvement, and Modernization Act, also called the Medicare Modernization Act or MMA, is a federal law of the United States, enacted in 2003. It produced the largest overhaul of Medicare in the public health program's 38-year history.
Can formularies be used to restrict prescription drug choices?
formularies can be used to restrict prescription drug choices. prescription coverage can be deferred to the patient or a Medicare Part D prescription plan. care other than emergency care can be restricted to a particular region. federal reimbursement can be adjusted according to the health risk of the enrollees.
Who was the chief architect of Medicare?
According to the New York Times December 17, 2004 editorial W.J."Billy" Tauzin, the Louisiana Republican who chaired the Energy and Commerce Committee from 2001 until February 4, 2004 was one of the chief architects of the new Medicare law. In 2004 Tauzin was appointed as chief lobbyist for the Pharmaceutical Research and Manufacturers of America (PhRMA), the trade association and lobby group for the drug industry with a "rumored salary of $2 million a year," drawing criticism from Public Citizen, the consumer advocacy group. They claimed that Tauzin "may have been negotiating for the lobbying job while writing the Medicare legislation." Tauzin was responsible for including a provision that prohibited Medicare from negotiating prices with drug companies.
Can Medicare negotiate drug prices?
Since the enactment of Medicare Prescription Drug, Improvement, and Modernization Act in 2003, only insurance companies administering Medicare prescription drug program, not Medicare, have the legal right to negotiate drug prices directly from drug manufacturers.
When will Medicare MMA be available?
Starting June 17, 2019, MMA filings should be submitted to both...
When did the 2005 Medicare prescription drug reforms end?
The Federal Trade Commission’s Bureau of Competition today issued a summary of agreements filed with the Commission in fiscal year 2005 (ending September 30, 2005 ) by generic and branded drug manufacturers. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 requires drug...
How many MMA files are needed for Medicaid?
Medicaid agencies for each of the fifty states and the District of Columbia ("states") must submit at least one monthly file to CMS identifying all known dually eligible beneficiaries. States have the option to submit multiple MMA files throughout the month (up to one per day).
What is MMA file?
The file is called the "MMA File" (after the Medicare Prescription Drug Improvement and Modernization Act of 2003), or State Phasedown File.
When did CMS start submitting Medicaid files?
Since 2005, states Medicaid agencies have been submitting files at least monthly to CMS to identify all people who are dually enrolled in both Medicare and Medicaid, also known as dually eligible beneficiaries.
What Is the Medicare Modernization Act of 2003?
The Medicare Prescription Drug, Improvement and Modernization Act of 2003 — also known simply as the Medicare Modernization Act (MMA) — is a sweeping piece of legislation that created a prescription drug benefit for millions of Medicare beneficiaries.
What Was the Impact of the Medicare Prescription Drug Improvement and Modernization Act?
The Medicare Modernization Act has impacted the program and its beneficiaries in significant ways. Perhaps the greatest impact is a massive enrollment shift to Medicare Advantage plans.
Medicare Modernization Act Pros and Cons
The Medicare Modernization Act expanded prescription drug coverage to millions of older and disabled Americans.
What is MMAI network?
Providers of all specialties and localities are encouraged to be part of this important initiative by joining one or more of the MMAI Plan networks. As a network provider, you will be able to provide care to new and existing Medicare-Medicaid dually eligible patients while benefitting from simpler reimbursement systems and a team-based approach to care.
What is Medicare and Medicaid alignment in Illinois?
The Illinois Medicare-Medicaid Alignment Initiative (MMAI) is a demonstration designed to improve health care for dually eligible beneficiaries in Illinois. Jointly administered by the Centers for Medicare & Medicaid Services (CMS) and the Illinois Department of Healthcare and Family Services (HFS), MMAI allows eligible beneficiaries in Illinois to receive their Medicare Parts A and B benefits, Medicare Part D benefits, and Medicaid benefits from a single Medicare-Medicaid Plan, also known as a MMAI plan. By integrating and coordinating individuals’ health care benefits, the demonstration aims to:
Overview
The Medicare Prescription Drug, Improvement, and Modernization Act, also called the Medicare Modernization Act or MMA, is a federal law of the United States, enacted in 2003. It produced the largest overhaul of Medicare in the public health program's 38-year history.
The MMA was signed by President George W. Bush on December 8, 2003, after …
Prescription drug benefits
The MMA's most touted feature is the introduction of an entitlement benefit for prescription drugs, through tax breaks and subsidies.
In the years since Medicare's creation in 1965, the role of prescription drugs in patient care has significantly increased. As new and expensive drugs have come into use, patients, particularly senior citizens at whom Medicare was targeted, have found prescriptions harder to afford. The …
Medicare Advantage plans
With the passage of the Balanced Budget Act of 1997, Medicare beneficiaries were given the option to receive their Medicare benefits through private health insurance plans, instead of through the Original Medicare plan (Parts A and B). These programs were known as "Medicare+Choice" or "Part C" plans. Pursuant to the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, the compensation and business practices for insurers that offer these plans changed, a…
Health savings accounts
The MMA created a new Health Savings Account statute that replaced and expanded the previous Medical Savings Account law by expanding allowable contributions and employer participation. After the first 10 years over 12 million Americans were enrolled in HSAs (AHIP;EBRI).
Other provisions
While nearly all agreed that some form of prescription drug benefit would be included, other provisions were the subject of prolonged debate in Congress. The complex legislation also changed Medicare in the following ways:
• it mandated a six-city trial of a partly privatized Medicare system (by 2010)
• it gave an extra $25 billion to rural hospitals (at the request of congressional representatives in the rural West)
Legislative history
According to the New York Times December 17, 2004 editorial W.J."Billy" Tauzin, the Louisiana Republican who chaired the Energy and Commerce Committee from 2001 until February 4, 2004 was one of the chief architects of the new Medicare law. In 2004 Tauzin was appointed as chief lobbyist for the Pharmaceutical Research and Manufacturers of America (PhRMA), the trade association and lobby group for the drug industry with a "rumored salary of $2 million a year," dr…
Costs
Initially, the net cost of the program was projected at $400 billion for the ten-year period between 2004 and 2013. Administration official Thomas Scully instructed analyst Richard Foster not to tell Congress of Foster's finding that the cost would actually be over $500 billion. One month after passage, the administration estimated that the net cost of the program over the period between 2006 (the first year the program started paying benefits) and 2015 would be $534 billion. As of F…
Bar to negotiation of prescription drug prices
Since the enactment of Medicare Prescription Drug, Improvement, and Modernization Act in 2003, only insurance companies administering Medicare prescription drug program, not Medicare, have the legal right to negotiate drug prices directly from drug manufacturers. The Medicare Prescription Drug Act expressly prohibited Medicare from negotiating bulk prescription drug prices. The "donut hole" provision of the Patient Protection and Affordable Care Act was an attem…
Overview
Frequency of File Submissions
MMA File Submission Procedures
How CMS Uses MMA Files
- The monthly files support the following program needs for CMS: 1. Auto-enrolling full benefit dually eligible individuals into Medicare drug plans; 2. Deeming full and partial benefit dually eligible individuals automatically eligible for the Medicare Part D Low Income Subsidy (LIS, sometimes called extra help); 3. Determining monthly phase down pa...
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