CMS finalizes notice of rate changes to Medicare Part D and Medicare Advantage

NCPA April 26, 2024

On April 1, the Centers for Medicare & Medicaid Services (CMS) finalized the Calendar Year (CY) 2025 Rate Announcement for the Medicare Advantage (MA) and Medicare Part D Prescription Drug (Part D) Programs that updates payment policies for these programs and ensures payment accuracy. The rate announcement complements policies in the CY 2025 MA and Part D proposed rule (which NCPA commented on in March) that would strengthen protections for the millions of people who rely on MA and Medicare Part D prescription drug coverage, which will be finalized in the coming days. Under this CY 2025 rate announcement, payments from the government to MA plans are expected to increase on average by 3.7 percent, or over $16 billion, from 2024 to 2025. The federal government is projected to pay between $500 and $600 billion in Medicare Advantage payments to private health plans in 2025. A fact sheet detailing everything can be found here, and you can read CMS’ press release here.

NCPA