Healthcare Finance News July 30, 2024
The government subsidy to Part D plans is shifting from being reconciled on the backend to a larger risk-adjusted payment upfront.
The national average bid amount for Part D plans will increase from $64.28 in 2024 to $179.45 in 2025, according to information released Monday by the Centers for Medicare and Medicaid Services.
The increase is due to government subsidies changing from being reconciled on the backend to a larger risk adjustment up front, according to CMS.
This redesign of the Part D program is meant to encourage better cost management through a larger risk-adjusted government Part D subsidy payment up front, rather than cost reconciliation on the backend based on beneficiary costs, or on reinsurance payments.
The preliminary estimated...
Today's Sponsors
Today's Sponsor