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The final rule implements changes to strengthen and improve the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plan, and Programs of All-Inclusive Care for the Elderly (PACE). This rule also codifies Part D provisions of the Inflation Reduction Act of 2022 (IRA). Changes included in this rule are based on feedback and public consultations with Medicare Advantage Organizations (MAOs), Part D sponsors, health care provider organizations, pharmaceutical manufacturers, pharmacy organizations, and beneficiary advocates, including regular listening sessions and other engagements to assist in the implementation of IRA provisions, gain input, identify areas that can be improved, and address vulnerabilities in the Part C and D programs.  

Overall Description of Deadline: Per the CMS notice published December 30, 2004 (69 FR 78442), except for certain Medicare payment regulations and certain other statutorily-mandated regulations, we schedule all Medicare final regulations for publication within the 3-year standardized time limit in the current Unified Agenda. We do not intend to delay publishing a Medicare final regulation for 3 years if we are able to publish it sooner.