2020 MA Advance Notice and Draft Call Letter

On January 30th, CMS released Part II of the Advance Notice and the Draft Call Letter, which propose policy and payment updates for Medicare Advantage (MA) and Part D plans, and Programs of All-Inclusive Care for the Elderly (PACE) for calendar year (CY) 2020. The proposed policy changes in the 2020 Advance Notice and Draft Call Letter are expected to increase revenue to participating plans by 1.59%, though the re-pricing impacts have yet to be determined and the estimate does not include an adjustment for the underlying MA coding trend.

This document summarizes key provisions of Part I and II of the Advance Notice and Draft Call letter. CMS will accept comments on Part I and II through March 1, 2019 and policies will be finalized in the 2020 Rate Announcement and Final Call Letter by April 1, 2019.

A summary of the proposals is attached. The full proposals are available here.