medicare
5 stories tagged "medicare"
The Mandatory Drug-Pricing Rule Nearly Every Major Drugmaker Was Allowed to Skip
Medicare's actuaries scored the final rule at $440 million in savings. The proposal they started with was worth $12 billion.
InvestigationsThe Escape Hatch in Trump's Drug Deal: 26 Companies Signed Their Way Out of the Price Cuts
Twenty-six drugmakers have signed voluntary White House agreements that exempt them from the proposed mandatory Medicare price cuts, and an analysis finds the deals could erase as much as 80 percent of the projected savings.
InvestigationsThe Government Calls the AMA's Codes a 'Monopoly.' The Government Made Them Mandatory.
Royalties bring the American Medical Association more than half its revenue, $301.4 million in 2024, and the code set behind them is one federal rules make mandatory. This summer, CMS asked the public what that arrangement costs.
Drugs & FDAThe Last Time Washington Went After Hospital Drug Markups, the Supreme Court Blocked It. This Time CMS Brought Receipts.
In 2018 the Supreme Court blocked CMS from cutting the markup 340B hospitals charge Medicare for discounted drugs, because the agency skipped a required survey. CMS ran the survey this time, and found seniors paying co-pays bigger than what the hospital paid for the drug.
Drugs & FDAMedicare's Product-Hopping Loophole Is Back On The Chopping Block. The Bigger Pharma Giveaway Isn't.
The Trump administration on Thursday proposed closing the product-hopping loophole that lets drugmakers reset Medicare's negotiation clock by tweaking inactive ingredients. It is the same fix the same administration quietly tabled in October.