Vince Sampson on Centers for Medicare & Medicaid Services (CMS)

US CMS Announces Initial Prices for Medicare Drug Price Negotiation Program

On August 15, 2024, the Centers for Medicare & Medicaid Services (CMS) released the first set of negotiated prices for the Medicare Drug Price Negotiation Program for 2026. Authorized under the Inflation Reduction Act of...more

9/6/2024 / Centers for Medicare & Medicaid Services (CMS) , Drug Pricing , Medicare , Pharmaceutical Industry , Prescription Drugs

Blog: CMS Releases Guidance Allowing Step Therapy for Part B Drugs

The Centers for Medicare & Medicaid Services (CMS) released guidance and a Fact Sheet that will provide Medicare Advantage (MA) plans the option of utilizing “step therapy” for Medicare Part B drugs. Recall, the concept of...more

8/8/2018 / Centers for Medicare & Medicaid Services (CMS) , Medicare , Medicare Advantage , Medicare Part B , Prescription Drugs

Blog: Drug Costs Targeted in Administration’s Fiscal Year 2019 Budget

Yesterday, the Administration released its Fiscal Year 2019 (FY19) Budget blueprint. The $4.4 trillion Budget blueprint includes several proposals directed at lowering the cost of prescription drugs. These proposals are...more

2/13/2018 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Drug Pricing , Federal Budget , Food and Drug Administration (FDA) , Generic Drugs , Medicare Part D , Prescription Drugs

Blog: CMS Withdraws Part B Demo Rule…for good

Earlier today, the Centers for Medicaid Services (CMS) released a notice withdrawing the “Medicare Program; Part B Drug Payment Model”, also known as the “Part B Demo.” As we discussed in a previous post, in December 2016,...more

10/3/2017 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Part B

Blog: Price Confirmed For HHS Secretary, Other Key Agency And Department Positions Next To Be Filled

Around 2 a.m., the Senate voted along party lines to confirm Representative Tom Price to become Secretary of the Department of Health and Human Services. The vote was 52-47 with no Democrats voting in favor. With repeated...more

2/13/2017 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Food and Drug Administration (FDA)

Blog: Medicare Part B Demo Declared Dead

On Thursday, the Center for Medicare & Medicaid Services (CMS) announced that it would not move forward with its controversial Medicare Part B Payment Model (Part B Demo). The Part B Demo had come under heavy fire from...more

12/19/2016 / Centers for Medicare & Medicaid Services (CMS) , Drug Pricing , Health Care Providers , Medicare , Medicare Part B , Prescription Drugs

Blog: CMS Issues Final MACRA Physician Payment Rule

On Friday, October 14th, the Center for Medicare & Medicaid Services (CMS) released the long-anticipated final rule with 60-day comment period (Rule) for the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)...more

10/18/2016 / ACOs , Alternative Payment Models (APM) , Centers for Medicare & Medicaid Services (CMS) , Medicare , Medicare Access and CHIP Reauthorization (MACRA) , MIPS

Blog: Washington Update: Senate proceeds towards “Cures”; CMS releases MA rates and Call Letter

Health care policy issues continue to stream out of Congress and the Administration. The Senate held a markup of various health bills as part of its effort to produce a companion to the House of Representatives-passed 21st...more

4/8/2016 / Centers for Medicare & Medicaid Services (CMS) , HELP , Medicare Advantage , National Institute of Health (NIH) , Proposed Regulation

Vince Sampson

Cooley LLP

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