The Centers for Medicare & Medicaid Services’ (CMS’) final rule advances policies to promote the efficient operation of the Medicaid Drug Rebate Program (MDRP).
Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program Final Rule
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CMS STATEMENT: Delay in Final Chimeric Antigen Receptor (CAR) T-cell therapy National Coverage Determination
Delay in Final Chimeric Antigen Receptor (CAR) T-cell therapy National Coverage Determination From a CMS spokesperson: “CMS will not be issuing a final National Coverage Determination on CAR T-cell therapy for cancer today, but a decision is forthcoming.” To read the proposed decision, visit the CMS Read more about CMS STATEMENT: Delay in Final Chimeric Antigen Receptor (CAR) T-cell therapy National Coverage Determination
Fact Sheets
Medicare Advantage and Part D Drug Pricing Final Rule (CMS-4180-F)
The Centers for Medicare & Medicaid Services (CMS) issued a final rule on May 16, 2019 that modernizes and improves the Medicare Advantage and Part D programs. These changes will ensure that patients have greater transparency into the cost of prescription drugs in Part D and will also enable Read more about Medicare Advantage and Part D Drug Pricing Final Rule (CMS-4180-F)
Press Releases
CMS Takes Action to Lower Prescription Drug Prices and Increase Transparency
Today, the Trump Administration finalized improvements to Medicare Advantage and Medicare Part D, which provide seniors with medical and prescription drug coverage through competing private insurance plans. Read more about CMS Takes Action to Lower Prescription Drug Prices and Increase Transparency
Press Releases
CMS Issues New Guidance Addressing Spread Pricing in Medicaid, Ensures Pharmacy Benefit Managers are not Up-Charging Taxpayers
Agency issues guidance for Medicaid Managed Care and CHIP health plans that clarifies how current regulations require “spread pricing” to be accounted in the calculation of Medical Loss Ratios (MLRs) Read more about CMS Issues New Guidance Addressing Spread Pricing in Medicaid, Ensures Pharmacy Benefit Managers are not Up-Charging Taxpayers
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Remarks by Administrator Seema Verma at the National Rural Health Association Annual Conference
Remarks by Administrator Seema Verma at the National Rural Health Association Annual Conference (As prepared for delivery – May 8, 2019) Read more about Remarks by Administrator Seema Verma at the National Rural Health Association Annual Conference
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