CMS announces final rates for medicare drug, health plans

CMS announces final rates for medicare drug, health plans
The Centers for Medicare & Medicaid Services has issued the 2014 rate announcement and final call letter for Medicare Advantage and prescription drug benefit Part D programs.

(HealthDay)—The Centers for Medicare & Medicaid Services (CMS) has issued the 2014 rate announcement and final call letter for Medicare Advantage and prescription drug benefit Part D programs.

The updates in the final rate announcement and final Call Letter ensure the program's stability while offering more value and protections against increasing premiums and health care costs.

Among the key revisions are: lower out-of-pocket drug spending ($310 deductible and $4,550 out-of-pocket limit) for the standard prescription drug benefit compared to 2013 as well as expansion of coverage for enrollees who reach the coverage gap, or so called doughnut hole; protection from significant increases in costs or cuts in benefits from year to year with a $34 per member per month limit to permissible increases; an assumption of no change to the 2014 physician fee schedule due to the likely override of the payment reduction by Congressional action; and improved coordination of care.

"The policies announced today further the agency's goal of improving payment accuracy in all our programs, while at the same time ensuring program stability and preserving beneficiary choice," Jonathan Blum, the acting principal deputy administrator of CMS, said in a statement.

More information: More Information

Related Stories

CMS proposes payment and policy updates for 2014

date Feb 22, 2013

(HealthDay)—Payment and policy updates have been proposed for 2014, according to the Centers for Medicare and Medicaid Services (CMS) Advanced Notice and draft Call Letter published Feb. 15.

Seniors in Medicare's doughnut hole decrease use of meds

date Feb 03, 2009

Beneficiaries enrolled in Medicare Part D who reached a gap in health care coverage known as the "doughnut hole" were much less likely to use prescription drugs than those with an employer-based plan, according to a University ...

Recommended for you

Europe's police crack massive horsemeat trafficking ring

date Apr 25, 2015

Police from seven European countries detained 26 people in a crackdown on a horsemeat trafficking ring two years after a tainted meat scandal that rocked the continent, the EU's judicial agency Eurojust said Saturday.

Text messaging useful for reaching 'at-risk' teens about sex

date Apr 24, 2015

Text messaging that connects teens with sexual health educators is effective for delivering sexual health information, according to a recent study in The Edward R. Murrow College of Communication at Washington State University.The ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.