Leslie Small

Leslie Small

Managing Editor, Health Plan Weekly and Radar on Drug Benefits

Latest from Leslie Small

Newest HHS Staff Cuts Could Stymie CMS Health Plan Oversight

A former CMS manager worries casework and other necessary functions could suffer as a result of the 300 staff cuts at the agency that are part of a massive HHS restructuring.

Health Insurers May Sue if CMS Finalizes Obesity Drug Coverage Expansion

Insurance companies and others warned that CMS could be sued over its reinterpretation of existing law expanding coverage of GLP-1s for obesity treatment.

Congress Can, But Likely Will Not, End Part D Stabilization Demo

Congress may be empowered to change the Part D stabilization demo, but a health policy expert said CMS is more likely to repeal, adjust or replace the program.

This Year, PBM-Directed Fury May Once Again Signify Nothing

Anti-PBM sentiment continues to rise, but industry observers still question whether the reforms being discussed will be effective.

‘Not a Good Look’: Premiums Could Jump If Trump’s CMS Drops Part D Demo

Despite GOP criticism of the Part D stabilization program and its budgetary impact, the Trump Administration may decide to keep it in part to avoid blame for a premium increase.

Biden Admin’s Last Part D Rule Also Has Generic Drug Exclusion Comments, Prescription Payment Plan Tweaks

In the proposed rule, CMS said it would begin reviewing Part D plan formularies and utilization practices to see if programs include incentives to reduce costs, as well as offered suggestions for implementing the new Medicare Prescription Payment Plan.