8/12/2025 2:25:42 PM CMS makes changes to Medicare Part D bid parameters for 2026 By Taber Rueter The Centers for Medicare & Medicaid Services (“CMS”) announced preliminary Medicare Part D bid parameters for year 2026 to help plan...
12/3/2024 12:00:00 PM Medicare overpayment rule standard changes finalized in 2025 CMS Physician Fee Schedule By Scot T. Hasselman Nancy Halstead Tom Greeson Nicole Aiken-Shaban Kaitlyn Dunn Peter Terreri Matthew Loughran +4 more... Show less In the final 2025 Medicare Physician Fee Schedule, which is set to be published in the Federal Register on December 9, the Centers for...
5/3/2024 1:28:20 PM OIG Exercises Discretion in Independent Charity Patient Assistance Program By Peter Terreri On April 8, 2024, the Department of Health and Human Services Office of Inspector General (OIG) issued Advisory Opinion No. 24-02,...
4/23/2024 6:05:16 PM Are you listening, Medicare Advantage and Medicare Part D Plans? It’s CMS (Again) By Scot T. Hasselman Nicole Aiken-Shaban Whitney Petrie Matthew Loughran +1 more... Show less Making good on its promises to enhance oversight of Medicare Advantage (MA) and Medicare Part D plans, the Centers for Medicare and...
11/30/2023 1:04:36 AM Senate Bill Would Create Drug Pricing Floor On Part D Reimbursement to Certain Pharmacies, Make Other Pharmacy Contracting Changes By Robert Hill Matthew Loughran On Nov. 8, 2023, the Senate Finance Committee voted 26-0 to approve the Better Mental Health, Lower Cost Drugs, and Extenders Act. Among...
2/17/2023 3:32:34 AM CMS Specifies Info Needed for Small Biotech Exception to Medicare Drug Price Negotiation By Robert Hill Janine Tougas As the September 1, 2023 deadline for Centers for Medicare & Medicaid Services (CMS) to publish the first 10 “selected drugs” subject to...
1/24/2023 7:46:54 PM OIG approves arrangement involving free drug samples for inpatient hospital use By Sonia Nguyen Brittney Cafero Madhav Bhatt On December 28, 2022, the Department of Health and Human Services’ Office of Inspector General (OIG) issued a favorable advisory opinion...
9/29/2022 2:53:40 AM Analysis of Medicare Prescription Drug Pricing Changes in Inflation Reduction Act By Matthew Loughran The Inflation Reduction Act included some very significant changes to the ways in which the Medicare program handles drug pricing. Among...
6/7/2022 3:54:22 PM Recent Medicare Advantage and Part D rule increases regulatory oversight on third party marketers By Matthew Loughran The Centers for Medicare and Medicaid Services has published a final rule that governed the way that Medicare Advantage and Medicare Part...
12/23/2021 7:10:15 PM Future of discount safe harbor for prescription drugs remains uncertain By Ryan Pate In November 2020, four months after the Trump Administration issued a series of Executive Orders reiterating its policy goals on reducing...
3/15/2020 10:21:52 PM CMS Rolls Out New Medicare Part D “Senior Savings Model” Designed to Drive Down Insulin Copayments By Robert Hill Joseph Metro Debra McCurdy The Centers for Medicare and Medicaid Services (CMS) has announced a new voluntary Part D Senior Savings Model (the Model) intended to...
2/17/2020 6:48:10 PM CMS Releases Proposed Medicare Advantage and Part D Rules for Contract Year 2021 and 2022 By Debra McCurdy CMS has put on display a proposed rule that would update Medicare Advantage (MA) and Medicare Part D prescription drug benefit policies...