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Medicare Advantage Prior Authorization and Step Therapy for Part B Drugs
Today, the Centers for Medicare & Medicaid Services (CMS) introduced much-needed competition and negotiation into the market for physician-administered and other Part B medications that will result in better deals and lower drug costs for patients. As part of the agency’s ongoing activities to deliver on President Trump’s promises outlined in his American Patients First Blueprint, CMS will provide Medicare Advantage plans the option of applying step therapy for physician-administered and other Part B drugs in a way that lowers costs and improves the quality of care for Medicare beneficiaries.
Fact sheetCMS empowers patients with more choices and takes action to lower drug prices
Agency is providing flexibility through private sector tools to negotiate lower prescription drug prices on behalf of beneficiaries.
Press releaseSPEECH: Remarks by Administrator Seema Verma at the ONC Interoperability Forum in Washington, DC
(As prepared for delivery – August 6, 2018)
Press releaseCMS Finalizes Changes to Empower Patients and Reduce Administrative Burden
Changes in the Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System final rule will advance price transparency and electronic health records.
Press releaseShort-Term, Limited-Duration Insurance Final Rule
The Secretaries of the Treasury, Labor, and Health and Human Services published a proposed rule to consider allowing short-term, limited-duration insurance to cover longer periods.
Fact sheetHHS News Release: Trump Administration Delivers on Promise of More Affordable Health Insurance Options
HHS final rule on short-term, limited-duration insurance brings more flexibility and choices to consumers.
Press releaseMedicare Part D premiums continue to decline in 2019
Today, the Centers for Medicare & Medicaid Services (CMS) announced that, for the second year in a row, the average basic premium for a Medicare Part D prescription drug plan in 2019 is projected to decline.
Press releaseSpeech: Medicare Remarks by CMS Administrator Seema Verma at the Commonwealth Club of California
I’d like to talk to you about things on which we all agree, like the future of our healthcare system, and Medicare. And if we have time we can touch quickly on world peace before we all leave.
Press releaseCMS Empowers Patients and Ensures Site-Neutral Payment in Proposed Rule
Outpatient Prospective Payment System (OPPS) & Ambulatory Surgical Center (ASC) proposed rule advances CMS commitment to increasing transparency and lowering drug prices.
Press releaseCMS Adopts the Methodology for the Permanent Risk Adjustment Program under the Patient Protection and Affordable Care Act for the 2017 Benefit Year
Final rule addresses the collection of risk adjustment charges and making of payments for the 2017 benefit year.
Press release