HealthExec April 3, 2018
John Gregory

MS has finalized its rule for 2019 rates for Medicare Advantage and Medicare Part D, giving insurers a bigger-than-expected rate increase while finalizing proposals on expanded supplemental benefits and efforts aimed at fighting opioid addiction.

Here are five major pieces of the finalized regulation:

  1. Drug pricing, opioid provisions finalized

CMS touted the rule as “saving Medicare beneficiaries on prescription drugs” with many of its provisions. Among them is allowing generic drugs to be added to formularies during any point of the year, rather than Part D plans having to wait until the next plan year to take advantage of lower-cost pharmaceutical options.

“The steps we are taking will drive more competition among plans and pharmacies to meet...

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Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare Advantage, Payer, Physician, Primary care, Provider
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