The proposed US International Pricing Index model for Medicare Part B drugs will lead to much larger reductions in research and development spending than the 1% average often quoted by HHS, according to Vital Transformation managing partner Duane Schulthess.
HHS released an advance notice of proposed rulemaking on the IPI in October 2018. The notice previewed plans to test a new payment model for Part B drugs in which Medicare reimbursement would be calculated based on the much-lower prices paid by countries in Europe, Japan and Canada
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