CHA News

CMS Proposes Changes to Medicare Advantage and Part D for 2021 and 2022

For CEOs, CFOs, government relations staff

The Centers for Medicare & Medicaid Services (CMS) has issued Part II of the calendar year (CY) 2021 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies. This includes proposals related to MA payment methodologies for 2021 — including changes to payment and possible star ratings for end-stage renal disease patients — as well as requests for feedback on changes to prior authorization and initial opioid prescribing.

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