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Part D Demos: Insurer Participation In Insulin, Catastrophic Risk Sharing Models Varies Widely

 
• By Cathy Kelly

Almost a third of Medicare drug plans are expected to offer the insulin demonstration next year, while almost none have signed up for the payment ‘modernization’ demo, under which plans would be at more risk for spending during the catastrophic phase. The Centers for Medicare and Medicaid Services also announces basic Part D premiums will average $30.50 for 2021.

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Plan Participation In Demonstrations Is Voluntary

Insurance plan turnout for the Medicare Part D demonstration project capping cost sharing for insulin in 2021 far outstrips participation in the payment “modernization” demo targeting cost reduction in the catastrophic phase of the benefit.

More than 1,600 standalone prescription drug plans and Medicare Advantage plans with a drug benefit will participate in the Senior...

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