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  • initiative
  • Senate Finance Committee members from both parties told the CMS on Thursday not to go forward with a Medicare Part B initiative to change how hospitals and doctors are reimbursed for outpatient drugs. (managedcarebiz.org)
  • seniors
  • Of 114,766 seniors without drug benefits, 55 percent initiated drug insurance under Part D. After the penalty-free Part D enrollment period, use of statins, clopidogrel, and proton pump inhibitors stabilized at levels ranging from 11 percent to 37 percent above the trend that would have been expected if Part D had not been implemented. (rwjf.org)
  • costs
  • According to an August 2015 survey, 72 percent of Americans find drug costs unreasonable, with 83 percent believing that the federal government should be able to negotiate prices for Medicare. (managedcarebiz.org)
  • For example, a proposed average sales price (ASP) payment reduction in the rule would harm access to "vital drugs" because many providers would face prescription costs that exceed the new Medicare payment amount offered under the model, the Republican lawmakers said. (managedcarebiz.org)
  • opposed the company's new policy, saying it would cost taxpayers billions of dollars through higher Medicare costs. (drugstorenews.com)
  • rule
  • More than 240 Congress members penned a letter Monday to CMS Acting Administrator Andy Slavitt outlining six chief concerns with the agency's Medicare "Part B Drug Payment Model" proposed rule. (managedcarebiz.org)