Medicare Program; Part B Drug Payment Model (CMS-1670-P)

116 organizations filed 119 public comments on Medicare Program; Part B Drug Payment Model (CMS-1670-P), at the Centers for Medicare & Medicaid Services. The comment window closed 3732d ago.

Abstract

This proposed rule discusses the implementation of a new Medicare payment model under section 1115A of the Social Security Act (the Act). We propose the Part B Drug Payment Model as a two-phase model that would test whether alternative drug payment designs will lead to a reduction in Medicare expenditures, while preserving or enhancing the quality of care provided to Medicare beneficiaries. The first phase would involve changing the 6 percent add-on to Average Sales Price (ASP) that we use to make drug payments under Part B to 2.5 percent plus a flat fee (in a budget neutral manner). The second phase would implement valuebased purchasing tools similar to those employed by commercial health plans, pharmacy benefit managers, hospitals, and other entities that manage health benefits and drug utilization. We believe this model will further our goals of smarter, that is, more efficient spending on quality care for Medicare beneficiaries

Commenters (116)

• TX - National Infusion Center Associationtrade assoc.

  2 filings · confidence 85%
• VA --Virginia Society of Eye Physicians & Surgeonstrade assoc.

  2 filings · confidence 85%
• VA-American Society of Clinical Oncologytrade assoc.

  2 filings · confidence 85%
• a center of the Milken Institutetrade assoc.

  1 filing · confidence 85%
• AL - University of South Alabamaunverified attribution

  1 filing · confidence 70%
• AL--Alabama Hospital Associationtrade assoc.

  1 filing · confidence 85%
• American Medical Associationtrade assoc.

  1 filing · confidence 97%
• American Pharmacists Association (APhA)trade assoc.

  1 filing · confidence 97%
• CA -- Dignity Health and the Dignity Health Medical Foundationtrade assoc.

  1 filing · confidence 85%
• CA--McKesson Corporationunverified attribution

  1 filing · confidence 70%
• CA--Prostate Cancer Research Institutetrade assoc.

  1 filing · confidence 85%
• DC - Coalition of State Rheumatology Organizationstrade assoc.

  1 filing · confidence 85%
• DC -- American Association of Orthopedic Surgeonstrade assoc.

  1 filing · confidence 85%
• DC -- Baxalta US Incunverified attribution

  1 filing · confidence 70%
• DC -- Digestive Disease National Coalitiontrade assoc.

  1 filing · confidence 85%
• DC -- Hematology/Oncology Pharmacy Associationtrade assoc.

  1 filing · confidence 85%
• DC -- The Alliance of Community Health Planstrade assoc.

  1 filing · confidence 85%
• DC -- The LUPUS foundation of Americatrade assoc.

  1 filing · confidence 85%
• DC --GBS|CIDP Foundation Internationaltrade assoc.

  1 filing · confidence 85%
• DC --Humana Incunverified attribution

  1 filing · confidence 70%
• DC --Personalized Medicine Coalitiontrade assoc.

  1 filing · confidence 85%
• DC --The American Foundation for Suicide Preventiontrade assoc.

  1 filing · confidence 85%
• DC --The Association of American Medical Collegestrade assoc.

  1 filing · confidence 85%
• DC --The COPD Foundationtrade assoc.

  1 filing · confidence 85%
• DC --The Council on Radionuclides and Radiopharmaceuticalstrade assoc.

  1 filing · confidence 85%
• DC --The Pharmaceutical Care Management Associationtrade assoc.

  1 filing · confidence 85%
• DC --U.S. Hereditary Angioedema Associationtrade assoc.

  1 filing · confidence 85%
• DC--Alliance for Regenerative Medicinetrade assoc.

  1 filing · confidence 85%
• DC--Alliance of Specialty Medicinetrade assoc.

  1 filing · confidence 85%
• DC--Alzheimer's Associationtrade assoc.

  1 filing · confidence 85%
• DC--American Hospital Associationtrade assoc.

  1 filing · confidence 85%
• DC--American Medical Associationtrade assoc.

  1 filing · confidence 85%
• DC--American Osteopathic Associationtrade assoc.

  1 filing · confidence 85%
• DC--Arthritis Foundationtrade assoc.

  1 filing · confidence 85%
• DC--California Life Sciences Association - CLSAtrade assoc.

  1 filing · confidence 85%
• DC--Cancer Leadership Counciltrade assoc.

  1 filing · confidence 85%
• DC--Coalition for Accessible Treatmentstrade assoc.

  1 filing · confidence 85%
• DC--Consumers Unionunverified attribution

  1 filing · confidence 70%
• DC--Eisai Incunverified attribution

  1 filing · confidence 70%
• DC--Federation of American Hospitalstrade assoc.

  1 filing · confidence 85%
• DC--Healthcare Leadership Counciltrade assoc.

  1 filing · confidence 85%
• DC--Leukemia & Lymphoma Societytrade assoc.

  1 filing · confidence 85%
• DC--Medical Group Management Associationtrade assoc.

  1 filing · confidence 85%
• DC--National Committee to Preserve Social Security and Medicaretrade assoc.

  1 filing · confidence 85%
• DC--National Health Counciltrade assoc.

  1 filing · confidence 85%
• DC--National Patient Advocate Foundationtrade assoc.

  1 filing · confidence 85%
• DC--National Rural Health Associationtrade assoc.

  1 filing · confidence 85%
• DC--Ovarian Cancer Research Fund Alliancetrade assoc.

  1 filing · confidence 85%
• DC--The Partnership to Improve Patient Caretrade assoc.

  1 filing · confidence 85%
• DC-Alliance for Patient Accesstrade assoc.

  1 filing · confidence 85%
• DC-American Cancer Society Cancer Action Networktrade assoc.

  1 filing · confidence 85%
• DC-American Society of Hematologytrade assoc.

  1 filing · confidence 85%
• FL -- The Medical Partnership 4 MStrade assoc.

  1 filing · confidence 85%
• FL --The Florida Rural Health Associationtrade assoc.

  1 filing · confidence 85%
• FL-Florida Hospital Associationtrade assoc.

  1 filing · confidence 85%
• FL-Florida Society of Clinical Oncologytrade assoc.

  1 filing · confidence 85%
• IL - American Society of Retina Specialiststrade assoc.

  1 filing · confidence 85%
• IL --Illinois Health and Hospital Associationtrade assoc.

  1 filing · confidence 85%
• IL--University of Illinois Hospital & Health Sciences Systemunverified attribution

  1 filing · confidence 70%
• IN --Eli Lilly and Companyunverified attribution

  1 filing · confidence 70%
• MA --Derma Sciences Corporationunverified attribution

  1 filing · confidence 70%
• MA --Institute for Clinical and Economic Reviewtrade assoc.

  1 filing · confidence 85%
• MA --Sunovion Pharmaceuticals Inc.unverified attribution

  1 filing · confidence 70%
• MD -- Plasma Protein Therapeutics Associationtrade assoc.

  1 filing · confidence 85%
• MD --Alliance of Wound Caretrade assoc.

  1 filing · confidence 85%
• MD --Jayne Koskinas Ted Giovanis Foundation for Health and Policytrade assoc.

  1 filing · confidence 85%
• MD--Association of Community Cancer Centerstrade assoc.

  1 filing · confidence 85%
• MD--Asthma and Allergy Foundation of Americatrade assoc.

  1 filing · confidence 85%
• MD--Digestive Health Physicians Associationtrade assoc.

  1 filing · confidence 85%
• MD--Immune Deficiency Foundationtrade assoc.

  1 filing · confidence 85%
• MD-American Plasma Users Coalitiontrade assoc.

  1 filing · confidence 85%
• MD-American Society of Nuclear Cardiologytrade assoc.

  1 filing · confidence 85%
• MD-Coalition of Wound Care Manufacturerstrade assoc.

  1 filing · confidence 85%
• Medical Imaging & Technology Alliancetrade assoc.

  1 filing · confidence 97%
• MI--Michigan Health & Hospital Associationtrade assoc.

  1 filing · confidence 85%
• MI--University of Michigan Center for Value-Based Insurance Designunverified attribution

  1 filing · confidence 70%
• MN--The Alliance of Dedicated Cancer Centerstrade assoc.

  1 filing · confidence 85%
• MO -- Alvalere Health LLC.unverified attribution

  1 filing · confidence 70%
• MO--Missouri Hospital Associationtrade assoc.

  1 filing · confidence 85%
• MO-Washington University in St. Louisunverified attribution

  1 filing · confidence 70%
• National Infusion Center Associationtrade assoc.

  1 filing · confidence 85%
• NC --North Carolina Hospital Associationtrade assoc.

  1 filing · confidence 85%
• NH--New Hampshire Hospital Associationtrade assoc.

  1 filing · confidence 85%
• NJ -- Integra LifeSciences Corporationunverified attribution

  1 filing · confidence 70%
• NJ -- International Society for Pharmacoeconomics and Outcomes Researchtrade assoc.

  1 filing · confidence 85%
• NJ -- Recordati Rare Diseases Inc.unverified attribution

  1 filing · confidence 70%
• NJ --Bayer Corporationunverified attribution

  1 filing · confidence 70%
• NJ --Bristol-Myers Squibb Companyunverified attribution

  1 filing · confidence 70%
• NY -- Lupus and Allied Diseases Associationtrade assoc.

  1 filing · confidence 85%
• NY -- United Rheumatology LLCunverified attribution

  1 filing · confidence 70%
• NY Global Healthy Living Foundationtrade assoc.

  1 filing · confidence 85%
• NY--Healthcare Association of New York Statetrade assoc.

  1 filing · confidence 85%
• NY--National Hemophilia Foundationtrade assoc.

  1 filing · confidence 85%
• OH --Wexner Medical Center at the Ohio State Universityunverified attribution

  1 filing · confidence 70%
• PA -- Community Oncology Alliancetrade assoc.

  1 filing · confidence 85%
• PA --Hemophilia Alliancetrade assoc.

  1 filing · confidence 85%
• PA-- University of Pennsylvania Health Systemunverified attribution

  1 filing · confidence 70%
• PA--The Hospital & Healthsystem Association of PAtrade assoc.

  1 filing · confidence 85%
• TN -- University of Tennessee Medical Centerunverified attribution

  1 filing · confidence 70%
• TN--The Tennessee Hospital Associationtrade assoc.

  1 filing · confidence 85%
• TX --The American Porphyria Foundationtrade assoc.

  1 filing · confidence 85%
• TX--Texas Medical Associationtrade assoc.

  1 filing · confidence 85%
• VA -- Advocacy Council of the American College of Allergytrade assoc.

  1 filing · confidence 85%
• VA --National Home Infusion Associationtrade assoc.

  1 filing · confidence 85%
• VA--Ambulatory Surgery Center Associationtrade assoc.

  1 filing · confidence 85%
• VA--American Diabetes Associationtrade assoc.

  1 filing · confidence 85%
• VA--American Society of Consultant Pharmaciststrade assoc.

  1 filing · confidence 85%
• VA--NAMDRC (National Association for Medical Direction of Respiratory Care)trade assoc.

  1 filing · confidence 85%
• VA--National Alliance on Mental Illnesstrade assoc.

  1 filing · confidence 85%
• VA--National Council on Agingtrade assoc.

  1 filing · confidence 85%
• VA--Society of Gynecologic Oncologytrade assoc.

  1 filing · confidence 85%
• VA-American Optometric Associationtrade assoc.

  1 filing · confidence 85%
• VA-Medical Imaging and Technology Alliancetrade assoc.

  1 filing · confidence 85%
• VA-National Psoriasis Foundationtrade assoc.

  1 filing · confidence 85%
• WA -- Omeros Corporationunverified attribution

  1 filing · confidence 70%
• WA --Washington Rheumatology Alliancetrade assoc.

  1 filing · confidence 85%