Part D Catastrophic Caps Would Start Before Presidential Election

Senate Democrats released Wednesday (July 6) updated drug pricing legislation that would cap Medicare Part D beneficiary catastrophic spending before the next presidential election, but it would eliminate monthly insulin copay caps that were in the previous version of the legislation. The changes to the legislation seem designed to guard against Republicans sabotaging Medicare price negotiation , account for budget rules and mitigate damage to biosimilars from Medicare drug price negotiation. The legislation is part of a budget reconciliation bill...
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InsideHealthPolicy.com
CMS Issue: 
Inside CMS - 07/14/2022
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Vol. 25, No. 28
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CMS Physician Fee Rule Treads Water On Telehealth Policies As More Data Collected

CMS essentially treads water on telehealth in its calendar year 2023 Medicare physician pay rule proposed Thursday (July 7), opting to generally follow Congress’ 151-day extension of pandemic telehealth flexibilities to buy time to gather data to formulate future policy. The telehealth advocacy group Telehealth Access for America reacted by saying Congress needs to step in to make telehealth flexibilities put in place during the pandemic permanent. A 151-day blanket extension of pandemic telehealth waivers after the public health emergency...
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