Milliman Analysis: Medicare Part D Program Characteristics that Affect Plan Sponsor Gain/Loss Margin

The Medicare Part D program has regulatory requirements and competitive dynamics that affect plan sponsor gain/(loss) margin. The Pharmaceutical Care Management Association (PCMA) asked that we summarize how Part D plan margin is affected by various characteristics and the timing of key Part D events. The following items are key program characteristics that affect gain/(loss) margin for Part D plan sponsors.

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