Wednesday, October 31, 2018

CMS this month said major changes may be ahead for...

...Medicare Part D's catastrophic coverage rules, shifting drug costs from the federal government to private insurers when Part D members reach a $5,000 out-of-pocket limit for drug costs. The Trump administration's 2019 budget includes a proposal to increase the private insurer's risk from 15% to 80% of members’ negotiated retail drug cost. Humana Inc. holds the largest Part D market presence of insurers that also provide medical benefits, at 4,857,992 lives.

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