How Will This Reinsurance Program Work? If we can be taught any courses from the Retiree Drug Subsidy (RDS”) program, the place initially the drug subsidy was to be calculated as a proportion on ALL prescription drug claims incurred by plan sponsors, there’ll seemingly be a section contained in the authorities that may push to dilute and cut back the class of eligible” claims throughout the closing calculation. The RDS system was initially comparatively simple until there was a bureaucratic choice to create excluded” drug courses from subsidy eligibility. CMS’ rationale behind this alteration was to NOT pay subsidy on remedy that were excluded beneath the federal government sponsored Half D drug plan formulary. There could very effectively be an analogous rationale used to create excluded” medical bills to align subsidy eligibility with solely medical procedures authorised and part of the government’s baseline plans as outlined throughout the closing invoice….