Healthcare ECONOMIST
MARCH 27, 2023
“CMS will exclude a drug or biological product that is designated as a drug for only one rare disease or condition under section 526 of the FD&C Act and that is approved for only an indication (or indications) for such disease or condition” Low-spending Medicare drugs. Note that this figure is not inflation indexed.
Bill Of Health
JANUARY 5, 2022
This Friday, the Supreme Court will hear arguments about two federal vaccine mandates: the Centers for Medicare and Medicaid Services’ (CMS) mandate for health care workers, and the Occupational Safety and Health Administration’s (OSHA) vaccine-or-test mandate for employers with over 100 workers.
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Sheppard Health Law
FEBRUARY 22, 2023
The Rebate Programs are administered as part of the prescription drug affordability provisions of the Inflation Reduction Act (the “IRA”), which is aimed at “lower[ing] out-of-pocket drug costs for people with Medicare and improv[ing] the sustainability of the Medicare program for current and future generations.” [1]
NASHP
MARCH 6, 2023
Increased Cost Barriers for Underinsured and Uninsured Populations Traditionally, vaccines in the United States are paid for in one of three ways — through an individual’s private insurance plan; through publicly-funded programs such as Medicare, Medicaid, and the Vaccines for Children (VFC) program; or directly by consumers.
Healthcare ECONOMIST
APRIL 5, 2022
The Public Health Service Act ( PHSA ) in 1992, created a program to allow hospitals providing care for underserved communities to be able to access discounted drugs. Becerra v Empire Health Foundation. This case examines how Medicare calculates disproportionate share hospital (DSH) payments to hospitals.
NASHP
NOVEMBER 9, 2022
This model legislation limits out-of-network rates for inpatient and outpatient hospital services to the lesser of (a) the state’s median in-network commercial rate for the same service; or (b) [X]% of the Medicare rate for the same service in the same geographic area.
Briggs Healthcare
JULY 14, 2023
We also wanted to send these reminders from the Centers for Medicare & Medicaid Services (CMS) about COVID-19 vaccine coverage and encourage you to start planning now for the fall vaccination campaign. By law, any Food and Drug Administration (FDA)-approved or authorized COVID-19 vaccine is covered under Medicare Part B.
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