The CMS on Wednesday proposed increasing the baseline Medicare Advantage payment rates for 2021 by 0.93%, well below the 2.53% rate increase that plans got this year. The agency also proposed new steps to reduce out-of-pocket drug costs for Part D beneficiaries, promote generic drug usage and allow enrollees to know more about their prescription drug costs in advance. The proposed rule also implements changes under the 21st Century Cures Act that allows people with end-stage renal disease to freely enroll in Advantage plans. Under the proposal, insurers that offer Advantage plans may be able to count telehealth services for specialties like psychiatry or cardiology towards their network adequacy standards. The Trump administration claims the change would increase access to care for seniors in rural areas and lower the costs of Advantage plans.
Read the full article: Medicare Advantage Plans to Get Less Than 1% Pay Increase //