“CMS’ newly announced payment model in Part D may be an attractive option for plan sponsors, but the impact is unlikely to be immediate, according to an analysis from Bernstein Research.”
“The Centers for Medicare & Medicaid Services unveiled the payment model last week, with the explicit goal of reducing spending and costs in the catastrophic phase of the Part D benefit. The agency said that spending on catastrophic coverage has nearly quadrupled over the past decade, ballooning from $9.4 billion to $37.4 billion.”
“CMS will maintain patients’ out-of-pocket spending requirements in the catastrophic phase at 5%, but the agency said…” Read the full article here.
Source: Bernstein: CMS’ new Part D model may be slow to ‘get off the ground’ – By Paige Minemyer, January 23, 2019. FierceHealthcare.
