CMS finalizes Medicare Advantage, Part D payment policies: 4 things to know

CMS issued a final rule April 1 to update 2020 payment policies for Medicare Advantage and Part D prescription drug plans.

Four things to know:

1. Under the rule, Medicare Advantage health plans will see a 2.53 percent pay raise in 2020.

2. In addition, chronically ill patients with Medicare Advantage can receive coverage for products and services aimed at addressing social determinants of health.

3. This includes meal delivery, transportation for nonmedical needs like grocery shopping and home environment services.  

4. For example, CMS said Medicare Advantage patients with asthma could receive coverage for air cleaners and carpet shampooing to address irritants that could cause asthma attacks. A patient with diabetes could receive coverage for transportation to a physician's appointment or other services like a nutritionist. 

For the full fact sheet, click here.

More articles on payers:
Trump administration sued over New Hampshire's Medicaid work requirements
5 must-reads on payer-provider relationships
Sutter Health, Anthem sign new contract

© Copyright ASC COMMUNICATIONS 2020. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.


Featured Webinars

Featured Whitepapers