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Yesterday, the Centers for Medicare & Medicaid Services (CMS) issued initial guidance detailing the requirements and parameters — including requests for public comment — on key elements of the new Medicare Drug Price Negotiation Program for 2026, the first year the negotiated prices will apply. The negotiation process will focus on key ...
The Centers for Medicare & Medicaid Services this week released for comment initial guidance implementing a program for Medicare to negotiate prices with drug makers for certain high-cost, single-source drug and biological products beginning in 2026 under the Inflation Reduction Act. The guidance details requirements and procedures for ...
The physicians also urged CMS to finalize proposed reforms that target inappropriate use of prior-authorization requirements by Medicare Advantage plans to delay, deny and disrupt provision of medically necessary care to patients. Fixing prior authorization is a critical component of the AMA Recovery Plan for America’s Physicians.
The Centers for Medicare and Medicaid Services on Wednesday released initial guidance for how it plans to negotiate prices for drugs under Medicare, a power granted to the agency by last year’s Inflation Reduction Act. The clinical benefits and costs of therapeutic alternatives would be the “foundational starting point” for the initial ...
CMS has just published initial guidance on the Negotiation Program, available here. The Rebate Program, which is now officially underway, requires drug companies to pay rebates into the Medicare Trust Fund when the companies raise prices for certain Medicare-reimbursed drugs faster than the rate of inflation.
The Centers for Medicare & Medicaid Services (CMS) on March 15 announced the first round of prescription drugs for which Medicare beneficiaries will pay reduced coinsurance from April 1 – June 30, 2023. As required by the Inflation Reduction Act, drug manufacturers that increase prices faster than the inflation rate will be required to pay ...
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