Medicare Negotiation: Therapeutic Alternatives Selection Will Become More Predictable, CMS Says

The selection process timeline will not change, but as the Medicare price negotiation matures, industry will better understand how therapeutic alternatives are chosen to inform the process, according to an official with the Centers for Medicare and Medicaid Services.

Significantly More CMS Transparency Still Seems Unlikely. • Source: Shutterstock

The Center for Medicare and Medicaid Services’ approach to choosing competitors that serve as pricing benchmarks for the drugs selected for the Medicare negotiation program will probably be easier to predict as the program matures, according to CMS senior advisor Kristi Martin.

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