Medicare Value-Based Contracting, Vendor Price Negotiation To Be Tested In Part B Demo

CMS using authority from previously abandoned competitive acquisition program; vendors may get ability to use formularies and apply utilization management techniques like prior authorization and step therapy.

Infusion of a hospital

The US Centers for Medicare and Medicaid Services is seeking stakeholder input on how to design a demonstration project that would experiment with third-party price negotiations and value-based contracting for Medicare Part B drugs.

A request for information on how to approach such an experiment was released July 25 in the Medicare hospital outpatient prospective payment system update proposed rule for 2019. Comments...

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