Natalia Mazina

JULY 3, 2022

Only in 2020, it started sending notices of recoupment to pharmacies specifying the amounts owed. Several pharmacists and patient advocacy groups filed legal actions against the DHCS and worked with legislature to eliminate these chargebacks to pharmacies. NADAC prices significantly reduced pharmacy reimbursements.

Overpayments 52

Overpayments Overpayment Patient Advocacy Medicaid 52

Health Law Advisor

JULY 21, 2023

On June 22, 2023, the Centers for Medicare & Medicaid Services (CMS) announced its proposed “Transitional Coverage for Technologies” (TCET) pathway—the Biden administration’s highly anticipated take on a mechanism to expedite coverage for certain devices designated by the U.S. Food and Drug Administration (FDA) as breakthrough devices. [1]

FDA 52

FDA Medicare Medicare Patient Advocacy 52

C&M Health Law

NOVEMBER 7, 2022

The EO comes two months after the president signed the Inflation Reduction Act (IRA) which promises to lower the cost of prescription drugs for many Medicare beneficiaries. This is not the first time that the White House will try to leverage CMMI’s testing authority to create models that would lower drug costs in Medicare.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Health Populi

OCTOBER 8, 2019

The Centers for Medicare and Medicaid Services (CMS) forecasts that prescription drug spending will be the fastest-growing cause of rising health spending by 2027. Political debates in this 2020 U.S. election cycle have been addressing these two issues: first, in the continuum of policies for reforming the U.S.

Prescription Drug Pricing 104

Prescription Drug Pricing Medicare Medicare ACA 104

Hall Render

NOVEMBER 28, 2023

On November 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update Final Rule (“2024 Final Rule”), which has since been filed in the Federal Register. 1,533 20.07% 7,404 2020 5,558 77.0% 7,872 2018 5,851 77.1%

Medicare 40

Medicare Medicare Payment Systems Medicaid 40