CMS Proposes MA and Drug Plan Payment and Policy Updates.

Date posted: March 6, 2015

The Centers for Medicare & Medicaid Services (CMS) recently issued an Advance Rate Notice and draft Call Letter proposing policy and payment updates to the Medicare Advantage and Part D Prescription Drug Programs.

Proposed changes, which seek to encourage payment to providers based on quality of patient care rather than quantity, include:

  • Refining the Medicare Advantage star rating system;
  • Increasing beneficiary access to providers through accurate provider directories; and
  • Changing the Advance Rate Notice payment.

CMS is accepting comments on the proposed Advance Rate Notice and draft Call Letter until 6:00 PM Eastern Standard Time on March 6, 2015.  Comments may be submitted electronically to  CMS will publish the 2016 Final Rate Announcement and Call Letter on April 6, 2015.

The CMS press release on the Advance Notice and draft Call Letter is available at:

The CMS Notice and Call Letter containing the proposed policies is available at:

The Centers for Medicare & Medicaid Services.  “CMS Proposes 2016 Payment and Policy Updates for Medicare Health and Drug Plans.”  Press Release.  20 Feb. 2015.

The Centers for Medicare & Medicaid Services; Advance Notice of Methodological Changes for Calendar Year (CY) 2016 for Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies and 2016 Call Letter; Advance Notice and Call Letter (February 20, 2015).

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