The Centers for Medicare & Medicaid Services yesterday finalized certain changes to Medicare Advantage maximum out-of-pocket and cost sharing limits for Medicare Parts A and B services that the agency proposed in 2020 to align with federal law. The final rule also codifies guidance on applying the changes beginning in contract year 2023; and requests comments on new or different ways to update and change the cost sharing limits in future years. CMS will publish the final rule in the April 14 Federal Register, with comments accepted for 60 days. 

Related News Articles

Blog
After two years on the front lines in the battle against this pandemic, hospitals and health systems have seen a dramatic rise in costs of labor, drugs,…
Headline
The AHA today urged the Centers for Medicare & Medicaid Services to “take swift action to hold Medicare Advantage plans accountable for inappropriately and…
Headline
Last year, 42% of all Medicare beneficiaries received benefits through private Medicare Advantage plans, with enrollment in these plans growing by nearly 10%…
Headline
The Centers for Medicare & Medicaid Services Friday finalized policy and technical changes to the Medicare Advantage and prescription drug benefit for…
Headline
The Centers for Medicare & Medicaid Services should take steps to prevent Medicare Advantage organizations from denying coverage and payment for medically…
Headline
The Centers for Medicare & Medicaid Services yesterday announced final updates and changes to its Medicare Advantage and Part D payment methodologies for…