Part D Primer for MA Plans: Preparing for the Redesign Under the Inflation Reduction Act

November 2, 2023 9:15am

Melissa Wong
Partner
Holland & Knight LLP

Kathleen Dixon Jaquish
Counsel
BlueCross BlueShield of Tennessee, Inc.

CMS will publish the first 10 Medicare drugs selected under the Medicare Drug Price Negotiation Program established in the Inflation Reduction Act, this year. This workshop will provide an in-depth overview of what’s included in the IRA and how it will impact Part D plans moving forward. Delve into the regulations, mechanics and implementation challenges associated with:

  • Key provisions in the Inflation Reduction Act including Medicare drug price negotiation program Part D Redesign: Medicare Part D brand name drug costs and spending caps
  • Premium benchmark stabilization vs. actual Part D plan premiums
  • Projecting the impact on overall plan costs Examining opportunities to mitigate the impact through formulary design and utilization management
  • Part D “smoothing” of cost sharing and operational challenges