Lexology February 10, 2020
On February 5, the Centers for Medicare and Medicaid Services (CMS) proposed several interesting tweaks to the Medicare Advantage (MA) and Medicare Part D programs through an 895-page proposed regulation, Contract Year 2021 and 2022 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicaid Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.
Below, we summarize some of the most important new policies and program changes proposed in the new regulation, focusing particularly on benefits (social determinants of health, medical loss ratio and prescription drug benefits) and the use of telehealth to meet network adequacy. We also outline additional proposed changes and provide overall analysis of the rule.
Benefits: Social...
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