MAPRx Submits Comments to CMS on Monthly Payment Cap Implementation

Earlier today, the MAPRx Coalition submitted comments to the Centers for Medicare & Medicaid Services (CMS) regarding the implementation of the Medicare Prescription Payment Plan program set to take effect for Contract Year (CY) 2025 per the Memorandum Maximum Monthly Cap on Cost-Sharing Payments Under Prescription Drug Plans: Draft Part One Guidance on Select Topics, Implementation of Section 1860D-2 of the Social Security Act for 2025, and Solicitation of Comments, published on August 21, 2023.

The Coalition appreciates the opportunity to comment on how CMS intends to implement the Medicare Prescription Payment Plan, a program that will help ease beneficiary financial burdens for medications by making out-of-pocket (OOP) costs more manageable and predictable through monthly payments.

When advocating for Congress to enact a true OOP cap in Medicare, MAPRx was consistently a strong proponent of this type of program. Given the critical role this program will play in alleviating financial burdens for beneficiaries, we want to ensure that it is effective in smoothing payments and that CMS is effective in its outreach to beneficiaries who could benefit from the program.

To read the Coalition’s complete comment letter to CMS, click here.