2025 Medicare Part D Patient Safety Reports Now Available
Relevant to: PDP, PDF, COB, PACE, Part D
Each week, we scan the latest CMS memos to find the most important ones that apply for PACE programs. Below is a summary of what you need to know.
Disclaimer: The content provided on this site is a summary for informational purposes only, and Grane PBM, Inc. assumes no liability for any errors or omissions in the site’s content. The information does not constitute legal or regulatory advice or replace the original CMS memo. Readers are advised to consult the CMS memo in its entirety and to verify information independently before making any decisions based on this information.
Click here to read the complete memo from CMS.
Introduction
The release of the 2025 Medicare Part D Patient Safety Reports is set for April 30, 2025, accessible via the Patient Safety Analysis Web Portal for authorized users. These reports offer updated insights into 16 Patient Safety measures, allowing Part D sponsors to review and compare their performance. Beneficiaries can leverage this information for informed decisions on health and prescription drug plans. Access details and user guides are available to streamline navigation and user management of the web portal.
Key Dates and Deadlines
- Availability of 2025 Patient Safety Reports: April 30, 2025
- Data submission deadline for annual Part D payment reconciliation using 2024 data: July 2025
- Final YOS 2025 Patient Safety Reports release: July 2026
- Retirement of 2022 Patient Safety Reports from the web portal: April 30, 2025
PACE Compliance
This memo is relevant to PACE programs as it discusses the updates and measures in the 2025 Medicare Part D Patient Safety Reports, which are integral to compliance and performance evaluation for PACE plans. According to the memo, PACE plans, along with other prescription drug plans and Medicare Advantage plans, are required to maintain and monitor their performance on certain patient safety measures.
Plans, including PACE programs, must utilize the Patient Safety Analysis Web Portal to access and review their monthly measure packages. These packages include summary contract-level reports for each measure and additional beneficiary-level files, which are pertinent for comparing performance against broader averages and monitoring improvement progress.
To ensure compliance:
– PACE plans must have authorized access to the Patient Safety Analysis Web Portal, which involves being verified through an authorization process described in the memo.
– The portal functions as a means of communication between CMS, PACE sponsors, and Acumen, LLC, the contractor managing the portal.
– Sponsors are encouraged to review the outlier notices and, although it is optional, they should respond to these notices if applicable.
– If there are potential errors or questions regarding calculations, diagnoses, exclusions, or underlying data, the sponsors should submit detailed information to the designated email for review. Use of a secure submission window may be requested.
– As system enhancements are planned, including enhanced communication features expected to be available in 2025, these will likely become essential for efficient data submission and query resolution.
Failure to comply with these protocols may lead to inaccuracies in the measures displayed for beneficiaries and affect the ability of Medicare beneficiaries to make informed decisions about their healthcare coverage.
Required Actions
You must be an authorized user to access the 2025 Patient Safety Reports. Authorization details are available in the “Access to the Patient Safety Analysis Web Portal” section of the memo.
1. Download and review your monthly measure packages from the Patient Safety Analysis Web Portal. These packages include summary contract-level reports and additional beneficiary-level files.
2. Check the Star Ratings and Display Page measures listed on both Medicare.gov Plan Finder and CMS.gov to assist Medicare beneficiaries in making informed enrollment decisions.
3. Review the updated User Guides for the 2025 continuous enrollment measures and exclusion files for specific measures, as mentioned in the memo.
FAQs
- What updates are included in the 2025 Medicare Part D Patient Safety Reports?
- How can authorized users access the Patient Safety Analysis Web Portal?
- What are the new measures added to the 2027 Star Ratings?
- What is the process for transitioning Part D Patient Safety measures to continuous enrollment?
- Are there changes in exclusion criteria for existing measures in the 2025 reports?
