February 11, 2020
On February 5, 2020, the Centers for Medicare and Medicaid Services (CMS) issued two documents affecting the Medicare Advantage (MA) program:
Comments on the Policy and Technical Changes Proposed Rule are due April 6, 2020. Comments on the Advance Notice Parts I and II are due March 6, 2020. The final rate announcement is expected by April 6, 2020.
With the changes outlined in these new proposals, CMS expects an average change in plan revenue of 0.93% (compared to 2020’s proposed increase of 1.59% and a final increase of 2.53%). Other proposed changes include permitting end-stage renal disease patients to enroll in MA plans, loosening some network adequacy requirements and allowing MA plans to establish a new preferred specialty tier in Part D plans.
A summary is available here.