Transcription of Announcement of Calendar Year (CY) 2020 Medicare …
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April 1, 2019 NOTE TO: Medicare Advantage Organizations, Prescription Drug Plan Sponsors, and Other Interested Parties Announcement of Calendar Year (CY) 2020 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter CMS received many submissions in response to our request for comments on Part I of the Advance Notice, published on December 20, 2018 and Part II of the Advance Notice/Draft Call Letter, published on January 30, 2019. Comments were received from professional organizations, Medicare Advantage (MA) and Part D sponsors, advocacy groups, state Medicaid agencies, pharmaceutical manufacturers, pharmacy benefit managers, pharmacies, and concerned citizens. In response to the comments, we made a number of changes in the Rate Announcement and Call Letter that reflect CMS s continued commitment to providing Medicare Advantage Organizations and Part D Plan Sponsors with the flexibility to develop and implement innovative approaches for providing Medicare benefits to enrollees and empowering enrollees.
Part D Risk Sharing: As part of this final Rate Announcement, we are not making changes to the 2020 threshold risk percentages and payment adjustments for Part D risk sharing proposed in the Advance Notice. Medicare Part D Benefit Parameters: Annual Adjustments for Defined Standard Benefit in 2020:
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