Category Archives: Uncategorized

2025 Medicare Part D Open Enrollment

The Annual Open Enrollment for Medicare prescription drug coverage (Part D) is October 15, 2024 – December 7, 2024 for coverage beginning January 1, 2025. Plans make changes to benefits and costs, and there are also many new changes for the 2025 plan year.

MAPRx encourages both new and existing...

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IRA Patient Guide

New this year: Medicare Part D prescription drug plans will have an out-of-pocket maximum of $2,000 and beneficiaries can also opt in to the Medicare Prescription Payment Plan (MPPP)—a new program that lets you pay for prescriptions in monthly installments. The MAPRx Coalition has created this new patient guide with more information.

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RE: Medicare Prescription Payment Plan Model Documents

The MAPRx Coalition (MAPRx) appreciates the opportunity to provide the Centers for Medicare & Medicaid Services (CMS) with comments regarding the new model documents for the implementation of the Medicare Prescription Payment Plan (MPPP) program set to take effect for Contract Year (CY) 2025.

READ FULL COMMENTS HERE

The MAPRx Coalition is pleased that CMS has made several important changes to the Part D Reporting Requirements, many of which the Coalition advocated for in our April 2 comments.

READ FULL COMMENTS HERE

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Medicare Part D Reporting Requirements (CMS-10185)

The MAPRx Coalition appreciates the opportunity to provide the Centers for Medicare & Medicaid Services (CMS) with comments regarding Medicare Part D plan sponsor data reporting requirements, as requested in the notice published in the Federal Register on February 2, 2024.

Highlights include:

• Part D plan...

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Comprehensive Obesity Coverage in Medicare Part D

MAPRx urges Congress and CMS to establish comprehensive obesity coverage in Medicare Part D through a one pager.

Highlights include:

• Treat and Reduce Obesity Act: Bipartisan, bicameral legislation to establish anti-obesity medication coverage through Medicare Part D
• CMS Guidance: to establish AOM coverage thorough revised Part...

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MAPRx Submits Comments to CMS on Medicare Prescription Payment Plan

Earlier today the MAPRx Coalition submitted comments to the Centers for Medicare & Medicaid Services (CMS) regarding the memorandum Medicare Prescription Payment Plan: Draft Part Two Guidance on Select Topics, Implementation of Section 1860D-2 of the Social Security Act for 2025, published on February 15, 2024.

Earlier today the MAPRx Coalition released the Issue Brief: Minimizing Affordability Challenges and Beneficiary Confusion. Linked HERE.

Highlights of the Issue Brief:

  • Key finalized provisions from Part 1 Guidance
  • Key proposed provisions from Part 2 Guidance
  • Key insights from coalition members and the focus...
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