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CMS Updates Guidance On The Medicare Prescription Payment Plan: What Part D Plans Should Be Doing Now - Healthcare

The Centers for Medicare & Medicaid Services updated its guidance on the Inflation Reduction Act of 2022's Medicare Prescription Payment Plan with its release of the Final Part One Guidance on February 29, 2024, and the Draft Part Two Guidance on February 15, 2024.

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CMS Implementing Inflation Reduction Act for Drug Pricing

CMS Implementing Inflation Reduction Act for Drug Pricing
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Medicare Program; Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications

Medicare Program; Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications
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CMS provides reporting guidance to Medicare Part D sponsors

CMS has provided Prescription Drug Event (PDE) reporting guidance to Medicare Part D sponsors regarding rebates and other price concessions at the point of sale. This guidance is applicable in all phases of the Part D benefit, including the coverage gap. PDE is the summary record that a prescription drug plan sponsor needs to submit to CMS after every time a beneficiary fills a prescription under Medicare Part D.

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