CMS settles Medicare Part D class action LIS suit

July 14, 2008

In settling a class action suit, the Centers for Medicare & Medicaid Services has agreed to make changes to the low income subsidy program for Medicare Part D.

CMS has agreed to make changes to the benefits for low-income subsidy beneficiaries in the Medicare Part D program as part of a settlement of a two-year-old class action suit. In the suit, the National Senior Citizens Law Center and the Center for Medicare Advocacy argued that CMS failed to provide sufficient protections for low-income beneficiaries. Under the settlement, CMS has agreed to require drug plans and CMS Regional Offices to provide additional assistance to beneficiaries whose names are inadvertently missing from pharmacy or plan computer systems and to educate pharmacy organizations about new policies intended to increase protections for dual-eligible patients who are not automatically enrolled in a plan.