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CMS Launches Part D Senior Savings Model for Insulin Products

On March 11, 2020, the Centers for Medicare & Medicaid Services (CMS) announced a voluntary model within the Medicare Part D program that would allow certain Part D plans to cap Medicare beneficiaries’ out-of-pocket costs for...more

CMS Issues COVID-19 Guidance to Medicare Advantage Organizations and Part D Sponsors

On March 10, 2020 the Centers for Medicare & Medicaid Services released a memo to Medicare Advantage Organizations and Part D Sponsors to inform them of their obligations and permissible flexibilities related to disasters and...more

CMS Releases Proposed Changes for Medicare Advantage and Medicare Part D

The Centers for Medicare & Medicaid Services (CMS) published the Contract Year 2021 and 2022 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicaid Program,...more

CMS Kicks the Can Down the Road

Delays inclusion of the US territories under the Medicaid Drug Rebate Program until April 1, 2022 - CMS issued an Interim Final Rule that further delays the inclusion of the US territories in the definitions of “States”...more

Fair and Accurate Medicaid Pricing Act Becomes Law: Officially Closes AMP “Loophole” Related to Authorized Generics

Late Friday, September 27, 2019, President Trump signed the Fair and Accurate Medicaid Pricing Act into law as part of the Continuing Appropriations Act....more

2020 Proposal for Medicare Part B Drug Reimbursement: Business as Usual

On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) released its annual proposed update to the hospital outpatient prospective payment system (Proposed Rule)....more

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