Two women over age 65 talk at a senior center. Evelyn Hockstein/The Washington Post via Getty Images

The federal government has proposed raising average payments to Medicare Advantage and Part D drug plans by 1.59% for the 2020 plan year, a tick down from what was proposed for 2019.

The bottom line: The final rate, which will come out April 1, will almost certainly be higher; the initial proposal usually lowballs certain factors within Medicare's complex payment formula. Regardless, more people are flocking to Medicare Advantage and Part D, which together will cost an estimated $350 billion this year and $383 billion in 2020.

Details: The feds also proposed other policies affecting the two programs.

  • Medicare is encouraging, but not requiring, plans to offer lower cost-sharing for drugs that reverse opioid overdoses, like naloxone.
  • Changes to how MA plans code the diseases of their members are expected to increase payments on average, even though there has been widespread concern plans are inflating codes to get higher payments.

Be smart: This year and next year are expected to be immensely profitable for MA and Part D plans, as the Trump administration has created "a friendly environment" for companies that participate in the programs.

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Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 7:30 p.m. ET: 32,694,155 — Total deaths: 991,273 — Total recoveries: 22,575,658Map.
  2. U.S.: Total confirmed cases as of 7:30 p.m. ET: 7,074,155 — Total deaths: 204,461 — Total recoveries: 2,750,459 — Total tests: 100,492,536Map.
  3. States: New York daily cases top 1,000 for first time since June — U.S. reports over 55,000 new coronavirus cases.
  4. Health: The long-term pain of the mental health pandemicFewer than 10% of Americans have coronavirus antibodies.
  5. Business: Millions start new businesses in time of coronavirus.
  6. Education: Summer college enrollment offers a glimpse of COVID-19's effect.
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What they're saying: Trump nominates Amy Coney Barrett for Supreme Court

Judge Amy Coney Barrett in the Rose Garden of the White House on Sept. 26. Photo: Oliver Douliery/AFP via Getty Images

Democratic and Republican lawmakers along with other leading political figures reacted to President Trump's Saturday afternoon nomination of federal appeals court Judge Amy Coney Barrett to succeed Justice Ruth Bader Ginsburg on the Supreme Court.

What they're saying: "President Trump could not have made a better decision," Senate Majority Leader Mitch McConnell said in a statement. "Judge Amy Coney Barrett is an exceptionally impressive jurist and an exceedingly well-qualified nominee to the Supreme Court of the United States."

Amy Coney Barrett: "Should I be confirmed, I will be mindful of who came before me"

Trump introduces Amy Coney Barrett as nominee to replace Ruth Bader Ginsburg. Photo: Olivier Douleiry/Getty Images

In speaking after President Trump announced her as the Supreme Court nominee to replaced Ruth Bader Ginsburg, Circuit Court Judge Amy Coney Barrett said on Saturday she will be "mindful" of those who came before her on the court if confirmed.

What she's saying: Barrett touched on Ginsburg's legacy, as well as her own judicial philosophy and family values. "I love the United States and I love the United States Constitution," she said. "I'm truly humbled at the prospect of serving on the  Supreme Court."