Inside Drug Pricing - 01/21/2019

CMS Tests Putting Part D Plans More At Risk For Catastrophic Costs

By John Wilkerson / January 18, 2019 at 4:07 PM
CMS proposed Friday (Jan. 18) to share with insurers savings from lower Part D catastrophic spending in return for plans agreeing to penalties when they exceed spending targets. CMS has yet to release many of the demonstration details, including the level of savings shared with plans and the tools they may use to manage drug costs, and those details will determine whether plans participate in the demonstration, Thorn Run Partners Vice President Shea McCarthy said. Although CMS Administrator Seema Verma...


Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.