Becker's: 5 things to know about CMS' Medicare Advantage and Part D Proposed Rule
Submitted By gmccalister, Created 02/10/2020 - 10:43
- The Contract Year 2021 and 2022 Medicare Advantage and Part D Proposed Rule seeks to raise payments to Medicare Advantage plans by less than 1 percent for 2021, compared to 2.53 percent this year
- For Star Ratings, CMS plans to increase the measure weights for patient experience and complaints, as well as access measures, from two to four for Medicare Advantage plans
- The rule would implement an amendment under the Social Security Act to allow Medicare-eligible individuals with end-stage renal disease to enroll in Medicare Advantage plans. Taking effect Jan.1, 2021
- CMS proposed to allow Part D plans to lower out-of-pocket spending for prescription drugs through, including allowing Part D plans to create a second specialty tier featuring lower cost-sharing
- CMS said the proposed changes would save the federal government roughly $4.4 billion over 10 years, with most of the savings coming from proposals affecting quality Star Ratings.
Source: Becker's Hospital Review
Source URL: https://www.beckershospitalreview.com/payer-issues/cms-relea...