Health Payer Intelligence January 15, 2021
The rule requires Part D plans to incorporate a benefits comparison tool, submit pharmacy performance metrics to CMS, and educate enrollees about opioids.
CMS has released its final rule for Contract Year 2022 Medicare Advantage and Part D which requires Part D plans to offer a real-time benefits comparison tool.
The agency estimated that the rule’s alterations would save the federal government $75.4 million over the course of the next decade.
“The changes in this final rule provide desperately needed transparency on the out-of-pocket costs for prescription drugs that have been obscured for seniors,” said CMS Administrator Seema Verma. “It will strengthen Part D plans’ negotiating power with prescription drug manufacturers so American patients can get a better deal.”
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