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CMS Finalizes Payment Updates for 2025 Medicare Advantage and Medicare Part D Programs

Posted by www.psmbrokerage.com Admin on Mon, Apr 01, 2024 @ 04:57 PM

CMS Rates 2025

The Centers for Medicare & Medicaid Services (CMS) finalized the Calendar Year (CY) 2025 Rate Announcement for the Medicare Advantage (MA) and Medicare Part D Prescription Drug (Part D) Programs that updates payment policies for these programs and ensures payment accuracy.

The Rate Announcement complements policies in the CY 2025 MA and Part D proposed rule that would strengthen protections for the millions of people who rely on MA and Medicare Part D prescription drug coverage, which will be finalized in the coming days.  Under this CY 2025 Rate Announcement,  payments from the government to MA plans are expected to increase on average by 3.70 percent, or over $16 billion, from 2024 to 2025. The federal government is projected to pay between $500 and $600 billion in Medicare Advantage payments to private health plans in 2025.

The finalized CY 2025 Rate Announcement may be viewed by going to: https://www.cms.gov/medicare/payment/medicare-advantage-rates-statistics/announcements-and-documents/2025

A fact sheet discussing the provisions of the finalized CY 2025 Rate Announcement, as well as frequently asked questions, can be viewed here: https://www.cms.gov/newsroom/fact-sheets/2025-medicare-advantage-and-part-d-rate-announcement

The final CY 2025 Part D Redesign Program Instructions can be found at: https://www.cms.gov/files/document/final-cy-2025-part-d-redesign-program-instructions.pdf

A fact sheet discussing the provisions of  the Final CY 2025 Part D Redesign Program Instruction can be viewed here: https://www.cms.gov/files/document/fact-sheet-final-cy-2025-part-d-redesign-program-instructions.pdf

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Tags: Medicare Advantage, CMS

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