CMS Rejects Call To Ban Copay Accumulators In Draft 2024 Exchange Rule

By Gabrielle Wanneh / December 13, 2022 at 5:23 PM
CMS once again rebuffed calls from patient advocacy groups to require that exchange plans count copay assistance toward beneficiaries’ deductibles and out-of-pocket costs as part of a draft 2024 exchange rule out Monday (Dec. 12) that continues a controversial copay accumulator policy. Advocacy groups had called for CMS to include in its draft Notice of Benefit and Payment Parameters for 2024 language calling copay accumulator adjustment programs, which don’t apply copay assistance toward out-of-pocket costs and deductibles, “discriminatory” and prohibiting...

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