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:
Dispute Arises Over Florida Medicaid Contracts
A legal battle unfolds in Florida as ImagineCare LLC sues to prevent the state’s health agency from advancing with new Medicaid managed-care contracts, citing potential harm to enrollees and ongoing bid protests.
Navigating the Impact of the 80-20 provision on Home-Based Care
The new 80-20 provision mandates significant wage increases for caregivers but brings challenges for smaller providers. This blog explores the rule’s implications, including the potential for provider closures and the effect on consumer choice in the home-based care sector.
Study Shows Hospital-at-Home Care Gains Popularity Among Americans
A recent survey shows increasing acceptance among Americans for hospital-at-home care, highlighting its perceived effectiveness, safety, and the willingness of individuals to undertake caregiving tasks.
States Using Section 1115 Demonstration Projects to Enhance Medicaid Support for Maternal and Child Health
Explore the latest insights from a report detailing how states leverage Section 1115 Medicaid demonstration projects to improve health outcomes for pregnant women, postpartum individuals, and young children by addressing crucial social needs.
The FTC’s Ban on Non-Compete Agreements and Its Ripple Effect on Healthcare
The FTC’s recent ruling to eliminate non-compete agreements promises significant shifts in the healthcare industry. This blog explores the potential benefits and challenges this change could bring to healthcare professionals and patients alike.
CalOptima Health Allocates Over Half a Billion to Boost Medicaid Rates in Orange County
In a significant financial boost, CalOptima Health in Orange, California, has announced a $526 million rate increase for its healthcare providers, enhancing service accessibility and economic stability across its network.
