Lexology January 19, 2022
The proposed technical changes for the 2023 Medicare Advantage and Part D contract year (87 Fed. Reg. 1842 (January 12, 2022)) include revisions to the definition of the term “negotiated prices” that CMS previously contemplated but had held off implementing. The proposed change could reduce cost-sharing paid by beneficiaries at the point of service and reduce the amount of DIR that Part D plan sponsors report to CMS.
Comments on the proposed rule must be submitted no later than March 7, 2022.
Picking up where it left off in 2018, CMS is proposing to delete the existing definition of “negotiated prices” at § 423.100 and to adopt a new definition for the term “negotiated price,” (singular not plural), as “the...
Today's Sponsors
Today's Sponsor