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Prior Authorizations Coming to Traditional Medicare: A Conversion Opportunity for Medicare Advantage?

Emily Dykstra, Research Manager -    During plan year 2020, CMS established prior authorizations in Medicare Parts A and B for five very specific outpatient department (OPD) services and since has added only three to the list for a total of eight services.1 However, in January 2026, CMS will add...
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Quantifying the IRA’s Impact: A 2023 to 2025 Drug Cost Comparison

Arielle Elliott, Research Manager -  The Medicare prescription drug market has undergone significant changes over the last three years, and likely much more change is still to come. With the passage of the Inflation Reduction Act in late 2022, particularly the establishment of the drug price negotiation program for 10...
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Twenty Years in the Making: The Evolution of Deft Research

Kyle Janssen, Senior Research Associate -    2025 marks an important year for us at Deft Research. This year we are celebrating our 20th anniversary of providing top-of-the-line consumer insights to assist senior and commercial market leaders with decision-making. Starting out with publishing only two studies in 2006, this year...
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MaxDiff—A Hierarchy of Fries

Andrew Anthony, Research Manager - MaxDiff, or best-worst scaling, is a method of discerning a ranked order of preference or importance for a set of items. Instead of asking respondents to rate each item individually, they are asked to select the best and worst item among a subset of the...
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Looming deadlines for ACA subsidies: What will the future of the Premium Tax Credit look like?

Brandon Dunk, Senior Research Associate The ACA has weathered uncertainty in the past, and 2025 is no different. A normal year has a lot of uncertainty as brands compete to design ACA plans: Coverages, cost shares, and network all need to be coordinated to design an offering that can stand...
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Medicare Part C and Part D Health Equity Index and Star Ratings

By Petra Brock The Health Equity Index (HEI) is a score created by the Centers for Medicare & Medicaid Services (CMS) to encourage Part C and Part D health plans to improve care for vulnerable and underserved populations. It is used to address the first priority (which aims to “expand...
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