Healthcare Finance News April 29, 2022
Insurers are now required to pass along price concessions received from pharmacies at the point of sale.
The Centers for Medicare and Medicaid Services issued a final rule on Friday with policies meant to provide greater transparency for Medicare Advantage and Part D plans.
The 2023 Medicare Advantage and Part D Final Rule also advances more affordable healthcare, CMS said, by reducing out-of-pocket costs for prescription drugs starting in 2024.
CMS finalized the policy that requires Part D plans to apply all price concessions they receive from network pharmacies to the negotiated price at the point of sale. This means the beneficiary can share in the savings, CMS said, because the policy reduces beneficiary out-of-pocket costs and improves price transparency...
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