Medicare Part D

2022 Medicare Advantage Premiums Drop, Enrollment May Rise

by Kelsey Waddill

Updated 9/30/21: This article has been updated to include a correction from Better Medicare Alliance. A previous version read "we urge lawmakers to project these gains," but this has been...

Centene Will Group Medicare Offerings Under Wellcare Brand

by Kelsey Waddill

Wellcare has announced that Centene and Wellcare will consolidate their Medicare offerings under the Wellcare brand name. This strategy will bring Centene Medicare products like Allwell, Health...

6 Policies To Reduce Prescription Drug Prices, Boost Competition

by Victoria Bailey

The Alliance of Community Health Plans (ACHP) is urging the federal government to take action and lower prescription drug prices with a set of recommended actions. The costs of prescription drugs...

How New Medicare Benefits Would Impact Medicare Advantage Rebates

by Kelsey Waddill

Updated 8/30/2021: The original AHIP analysis was corrected to convey that seniors could lose at least $696 in Medicare Advantage benefits. This article has been altered to include that...

CMS: Medicare Part D Monthly Premium May Be 5% Higher in 2022

by Kelsey Waddill

CMS estimates that the average monthly premium for Medicare Part D coverage will increase in 2022. “Driving down prescription drug costs remains a priority for the Biden-Harris...

Why Catastrophic Medicare Part D Drug Spending Is On The Rise

by Kelsey Waddill

For over a decade, an increasing number of Medicare beneficiaries have shouldered catastrophic Medicare Part D drug spending that exceeds the catastrophic threshold, according to a recent Kaiser Family...

Agent Tools Offer Information on 43% of Medicare Advantage Plans

by Kelsey Waddill

Agents play a major role in guiding members during Medicare Advantage plan enrollment, but their methods may limit members’ ability to know all of their health plan options, a...

CMS 2022 Final Rule Requires Part D Real-Time Drug Benefits Tool

by Kelsey Waddill

CMS has released its final rule for Contract Year 2022 Medicare Advantage and Part D which requires Part D plans to offer a real-time benefits comparison tool. The agency estimated that the...

What the New Rebate Rule Means for Medicare Part D Plans, MCOs

by Kelsey Waddill

The Department of Health and Human Services has released its finalized rebate rule which changes safe harbors around prescription drug pricing, impacting Medicare Part D plans and certain Medicaid...

Medicare Advantage HMOs Remain Popular in 2021 Open Enrollment

by Kelsey Waddill

Medicare Advantage, specifically the Medicare Advantage health maintenance organization (HMO) option, is projected to be the most popular choice once again during open enrollment, according to...

CMS Reveals Low Part D Premium, AHIP Warns of Rebate Rule Impact

by Kelsey Waddill

The average basic premium for Medicare Part D prescription plans will be the second lowest average Part D premium since 2013, CMS announced. “The Trump Administration has prioritized policies...

Medicare Advantage, Part D Plans Join CMS to Cut Insulin Costs

by Kelsey Waddill

More than 1,750 Medicare Advantage and Medicare Part D plans will participate in the Part D Senior Savings Model in order to offer lower insulin costs in 2021, CMS announced. “President Trump...

Proposed Medicare Advantage Changes Address Drug Pricing, ESRD

by Kelsey Waddill

CMS has proposed changes to Medicare Advantage that will increase plans’ revenues by 0.93 percent. The proposed rule would extend Medicare Advantage eligibility to those diagnosed with...

Finalized CMS Rule Supports Medicare Coverage for Acupuncture

by Samantha McGrail

CMS has finalized a proposed rule to provide Medicare coverage to chronic low back patients accessing acupuncture, which furthers the administration’s efforts to address the opioid...

Plan Comparison May Prevent Medicare Beneficiaries Switching Plans

by Kelsey Waddill

Update 12/6/2019: This article has been updated to reflect that the 8 and 10 percent voluntary shifts happened in unsubsidized MA plans and Medicare prescription drug plans, respectively. An earlier...

53% of Seriously Ill Medicare Beneficiaries Face Financial Distress

by Samantha McGrail

Medicare coverage gaps may cause considerable financial distress for the most seriously ill patients, with 53 percent of seriously ill Medicare beneficiaries admitting they struggle to pay for care,...

Proposed Bill Permits HHS to Negotiate Drug Prices, Saves $345 B

by Kelsey Waddill

By allowing the HHS to negotiate drug prices tied to international standards, Title I of the Lower Drug Costs Now Act of 2019 (HR-3) would save the federal government $345 billion from 2023 to 2029,...

Medicare Advantage Premiums Drop 14% for 2020 Open Enrollment

by Kelsey Waddill

CMS projects that Medicare Advantage and Part D premiums are an estimated 14 percentage points lower than 2019 premiums, dropping from $26.87 to approximately $23.00 this 2020 open enrollment...

Increased Access to First Generic Drugs May Save $4B Annually

by Kelsey Waddill

Consumers have access to less than half of the first generic drugs approved in the past three years and improving access would save seniors over $4 billion per year, the Association for Accessible...

Orphan Drug Act Raises Prescription Drug Spending, Needs Reworking

by Kelsey Waddill

The Orphan Drug Act no longer serves its original purpose but instead increases prescription drug spending and healthcare spending, American’s Health Insurance Plans (AHIP) stated in a recent...