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:
Addressing Challenges in MLTSS Implementation: What’s Needed for Success
While MLTSS expands access to home-based care, its success depends on addressing key challenges like workforce shortages, eligibility barriers, care coordination gaps, and transitions from institutional care. Here’s what needs to be done to improve these programs.
Florida Launches Medicaid Pilot Program for IDD Services in Managed Care
Florida’s Medicaid program has introduced a pilot initiative transitioning waiver services for individuals with intellectual and developmental disabilities to managed care in two regions.
Proposed Congressional Budget Cuts Could Impact Millions on Medicaid
Congressional budget cuts could put Medicaid coverage at risk for millions, with experts cautioning that states may struggle to compensate for reduced federal funding.
New York Expands CDPAP With Partnership for 11 Independent Living Centers
New York Governor Kathy Hochul has announced 11 new partners joining the state’s Consumer Directed Personal Assistance Program (CDPAP) to enhance home care services.
How Massachusetts and Colorado Are Leading the Way in Home-Based MLTSS
Massachusetts and Colorado offer strong MLTSS programs that help Medicaid beneficiaries receive in-home care rather than entering nursing facilities. Their programs provide personal care, home health services, and caregiver support to promote independent living.
Florida Implements Changes to Medicaid Managed Care System
Florida’s Medicaid managed care system has undergone major changes, including new contracts and a reduced number of service regions, affecting millions of residents.
Value Based Care Stories
