Medicare and Medicaid Program Design

News

World’s Most Expensive Drug Revives Push for New Payment Models

Anna Kaltenboeck speaks with Bloomberg Law about the Centers for Medicare & Medicaid Services' role in aggregating data regarding payment models as innovative drugs reach the market.
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Insights

Proposed Changes to Medicare Advantage Utilization Management

On December 14, 2022, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule containing a number of significant policy and technical changes to the Medicare Advantage (MA) and Part D programs for 2024.
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News

Experts talk IRA impacts as CMS announces it will publish first 10 drugs up for negotiation in September

Anna Kaltenboeck discusses the impacts of the Inflation Reduction Act at an Endpoints News session for industry leaders at the JP Morgan convening in January 2023.
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News

New Biden Law Won’t Kill Drug Cures. It Will Reshape Them.

Anna Kaltenboeck discusses how the Inflation Reduction Act might reshape incentives in developing new drugs.
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Insights

Healthcare At Home Needs Platforms to Aggregate and Connect Patients and Providers

Healthcare providers are adapting in response to technologies enabling remote work, staffing shortages, patient preferences, and the competitive landscape of inpatient care.
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News

Is Medicare-Medicaid Integration Possible In A Fee-for-Service Environment?

Allison Rizer outlines in Health Affairs how states using Medicaid FFS to serve dual-eligible individuals can create a more integrated, financially sustainable program design.
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