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Home Posts Healthcare Policy

Category Archive

Below you'll find a list of all posts that have been categorized as “Healthcare Policy”

TennCare III: A Potential Case Study in the Impact of CMS’ Approved Tennessee Aggregate Cap Demonstration Waiver in Medicaid

Ethan Heidorn May 28, 2021 Healthcare Industry, Healthcare Policy

Quick Summary: Allows Tennessee Medicaid to cover the greater of either one …

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UPDATE: CMS Finalizes Proposed Changes to the Medicaid Drug Rebate Program: What Might That Mean for Value-Based Contracts?

Ethan Heidorn April 30, 2021 Healthcare Policy

Quick Summary: Finalizes new definition of Value-Based Purchasing (VBP) arrangements Took effect …

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UPDATE: The Supreme Court’s Decision in Rutledge vs PCMA

Krista Maier, JD April 20, 2021 Healthcare Policy

Late last year, the Supreme Court released its decision in the Rutledge …

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New Administration, New Agenda

Krista Maier, JD April 12, 2021 Healthcare Policy

Shortly after President Joe Biden was sworn in, the White House released …

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Most Favored Nation Pricing in Part B Still Faces Hurdles

Krista Maier, JD March 29, 2021 Healthcare Policy

Quick Summary: HHS released an Interim Final Rule to implement a pilot …

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CMS Final Rule on the Definition of Line Extension, New Formulation, and Oral Solid Dosage Form for Alternative URA Calculation

Ethan Heidorn March 13, 2021 Healthcare Policy

Quick Summary: Finalizes a regulatory definition of a “line extension,” “new formulation” …

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CMS Final Rule on Impact of Certain Manufacturer Sponsored Patient Assistance Programs on “Best Price” and Average Manufacturer Price (AMP)

Ethan Heidorn March 1, 2021 Healthcare Policy

Quick Summary: CMS has decided to no longer exclude certain manufacturer-sponsored copay …

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HHS Finalizes Payer Transparency Rules

Ethan Heidorn February 15, 2021 Healthcare Policy

Quick Summary: Beginning in 2022, insurers must post online machine-readable files that …

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Rebate Rule: Is it Finally Happening?

Krista Maier, JD January 30, 2021 Healthcare Policy

Quick Summary: In November 2020, the Trump Administration released the final rule …

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Rutledge vs PCMA: An Overview of the Supreme Court PBM Case

Krista Maier, JD November 25, 2020 Healthcare Policy

Quick Summary: A 2015 Arkansas law requires pharmacy benefit managers (PBMs) to …

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