CMS Innovation Center Exploring ‘Array’ Of Cost-Lowering Medicare Payment Models

CMMI payment demonstrations are viewed as way of skirting statutory obstacles to experimenting with new approaches to reimbursement and could lead to significant drug pricing reforms if legislative efforts fail. However, HHS is not signaling an intent to pursue transformational new models at this point.

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The Center for Medicare and Medicaid Innovation is considering a variety of different payment models that could be tested as a way to lower costs in Medicare Parts B and D, the Health and Human Services Department notes in its Comprehensive Plan for Addressing High Drug Prices, released on 9 September.

The report includes a wide range of administrative policies under consideration or already underway at federal agencies and also endorses...

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