May 28, 2020

Around the nation: CMS announces plans to cap insulin costs for Medicare beneficiaries

Daily Briefing

    CMS on Tuesday announced that 88 Medicare Advantage (MA) and Medicare Part D plan sponsors will cap insulin costs at $35 a month for Part D and MA beneficiaries during the 2021 plan year, in today's bite-sized hospital and health industry news from Maryland, Missouri, and New York.

    • Maryland: CMS on Tuesday announced that 88 Medicare Advantage (MA) and Medicare Part D plan sponsors will participate in a new model for the 2021 plan year under which they will cap insulin costs at $35 a month for Part D and MA beneficiaries. CMS said the Part D Senior Savings Model, which the agency first announced in March, could help to save a beneficiary enrolled in a participating plan an average of $466 in out-of-pocket costs for insulin (Rascoe, NPR, 5/26; King, FierceHealthcare, 5/26; Stein, Bloomberg, 5/26; Brady, Modern Healthcare, 5/26; CMS release, 5/26).
    • Missouri: The St. Louis County Department of Public Health on Monday issued a travel advisory calling for everyone in the county who traveled and/or did not practice social distancing over the Memorial Day weekend to quarantine themselves for 14 days or until they test negative for the new coronavirus. The department issued the advisory after a viral video began circulating that showed a large pool party and crowds at the Lake of the Ozarks over the weekend (Yancey-Bragg/Karnes, USA Today, 5/26).
    • New York: Larry Kramer, a playwright who founded the AIDS Coalition to Unleash Power, died Wednesday at age 84. Kramer was renowned for both his writing and his work to support patients with HIV/AIDS. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, on Wednesday told the Associated Press that Kramer was "a true icon." Fauci added, "This is a very, very sad day" (Kennedy, Associated Press, 5/28).

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