Medicaid Rx Drugs Shifting Away from FFS
U.S health care policymakers just announced their plans to expand the Home Health Value-Based Purchasing (HHVBP) Model.
January 18, 2021 – The Centers for Medicare & Medicaid Services (CMS) has spent 4 years advancing value-based care across all programs. They also sought to remove barriers to value-based payments for drug pricing. The CMS released a new rule, “Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value-Based Purchasing (VBP) for Drugs Covered in Medicaid, Revising Medicaid Drug Rebate and Third Party Liability (TPL) Requirements,” ushers in a new era of value-based drug reimbursement. This rule removes regulatory barriers for Medicaid drug reimbursement.
Click here to read the full report from the Centers for Medicare & Medicaid Services.
The VBP Blog is a comprehensive resource for all things related to value-based payments. We provide up to date news, informative webinars, and relevant blogs in the VBP sphere to help your organization find success.
Get even more VBP insights on LinkedIn & Twitter
More Trending Topics:
How States Structure MLTSS Programs Differently and Why It Matters
LTSS programs can look very different from state to state. Learn how design choices shape access, coordination, accountability, and the consumer experience.
Pennsylvania Updates Assistive Technology Limits for IDD Waivers
Pennsylvania shifts assistive technology funding for IDD waivers from a $10,000 lifetime cap to a $3,000 annual limit to improve flexibility for participants.
Who Is MLTSS Designed For? Understanding the Populations States Prioritize in Managed LTSS
MLTSS programs are designed for different populations across states, from older adults and people with physical disabilities to dual-eligible members and individuals with I/DD or behavioral health needs.
Colorado Medicaid Costs Surge, Raising Concerns Over Sustainability
Colorado Medicaid spending is rising rapidly, creating budget pressure and forcing lawmakers to consider cuts, reforms, or new funding options.
New York Lawmakers Consider Medicaid Behavioral Health Carve-Out Amid Access Concerns
New York lawmakers are considering a Medicaid behavioral health carve-out that would return services to a fee-for-service model.
Indiana Ends Managed Care for Long-Term Medicaid Nursing Home Residents
Indiana will move Medicaid nursing home residents out of managed care after 100 days, returning to a fee-for-service model amid cost and payment concerns.
Value Based Care Stories
