Medicare Value-Pricing Options Vary Widely In Part B Payment Experiment

One option from CMS would adjust coinsurance to steer beneficiaries toward 'higher-value' drugs while other possible arrangements relate more directly to reducing Medicare payments.

The Centers for Medicare and Medicaid Services suggests four types of value-based pricing strategies in its recent proposal to experiment with new approaches to drug reimbursement in Medicare Part B.

In a proposed rule released March 8, CMS says it will test one or more value-based approaches in...

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