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Medicare
CMS OPPS Proposed Rule Seeks Comments on Potential Remedies for 340B…
The Centers for Medicare and Medicaid Services (“CMS”) published its annual proposed rule detailing changes to the Medicare…
CMS Proposed Rule Would Expedite Part D Prior Authorization Requirements
The Centers for Medicare and Medicaid Services (“CMS”) recently published a proposed rule entitled Secure Electronic Prior…
CMS Announces Medicare Part D Final Rule Maintaining Current Policy on Six…
The Centers for Medicare and Medicaid Services (“CMS”) announced a final rule maintaining the existing policy on coverage of drugs…
CMS Announces Medicare Part B Final Rule Permitting Step Therapy on New…
The Centers for Medicare and Medicaid Services (“CMS”) announced a final rule permitting Medicare Part B plans, including those…
Increased Oversight and Penalties for Drug Misclassifications under the…
On April 18, 2019, President Trump signed H.R. 1839—Medicaid Services Investment and Accountability Act of 2019—into law. The new…
January MedPAC Recommendations: Rebates & Biosimilars
The Medicare Payment Advisory Commission (MedPAC), responsible for advising Congress on Medicare issues, held its January 2019…
PhRMA Submits Comments on CMS Proposed Rule Regarding Modernizing Part D…
In November 2018, the United States Centers for Medicare & Medicaid Services (CMS) released a proposed rule with the intent to…
CMS Releases MA and Part D Advance Notice and Draft Call Letter
On January 30, the Centers for Medicare and Medicaid Services released its Medicare Advantage and Part D Advance Notice Part II…
Voluntary Part D Demo Incentivizes Plans to Reduce Spending on High-Cost…
On January 18, 2019, the Centers for Medicare and Medicaid Services (CMS)’ Center for Medicare and Medicaid Innovation (CMMI)…
CMMI Announces Plans to Expand Medicare Advantage Model
On January 18, 2019, the Center for Medicare and Medicaid’s (CMS) Innovation Center (CMMI) announced plans to expand their…