Rocky Rollout Spells Trouble for Medicare Prescription Payment Plan

  • May 01, 2025

    In the first two months of the new Medicare Prescription Payment Plan, a mere 0.4% of Medicare Part D beneficiaries have elected to participate in what the industry commonly refers to as the M3P. That’s lower than what many stakeholders projected for the program’s first year and far below CMS’s expectations of 6% of the individual Part D population, according to a recent analysis from Milliman Medicare Market Intelligence (MedIntel).

    It’s unclear if enrollment will increase as the program continues to roll out, but early invoicing data suggests that members are slow to pay, which could discourage future efforts to boost enrollment.

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    © 2025 MMIT
  • Lauren Flynn Kelly

    Lauren has been covering health business issues since the early 2000s and specializes in in-depth reporting on Medicare Advantage, managed Medicaid and Medicare Part D. She also possesses a deep understanding of the complex world of pharmacy benefit management, having written AIS Health’s Radar on Drug Benefits from 2004 to 2005 and again from 2011 to 2016. In addition to her role as managing editor of Radar on Medicare Advantage, she oversees AIS Health’s publications and manages the health editorial staff. She graduated from Vassar College with a B.A. in English.

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