Biosimilar Coding Policy For Medicare Reversed To 'Promote Innovation'

Decision reflects Trump Administration's willingness to reconsider past efforts at cost control to address biopharma industry's concerns.

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The US Centers for Medicare and Medicaid Services (CMS) has agreed to change its approach to reimbursing biosimilars under Medicare Part B in a way that will promote more innovation and competition, the agency says in a final rule released Nov. 2.

Beginning Jan. 1, 2018, all biosimilars will be reimbursed using unique Medicare payment codes, known as Healthcare Common Procedure Coding System (HCPCS) codes, based on individual prices. The approach has...

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