1) OUTSIDE PUBLICATION
PROPOSED MEDICARE PART B PAYMENT
METHODOLOGIES WILL IMPACT DRUG
MANUFACTURERS, PHYSICIAN PRACTICES
AND HOSPITAL OUTPATIENT
DEPARTMENTS
BNA'S PHARMACEUTICAL LAW & INDUSTRY REPORT
April 22, 2016
AUTHORS AND CONTACTS
Donna Lee Yesner
On March 11, 2016, the Centers for Medicare & Medicaid Services announced a proposed two-phase
demonstration project to test new Medicare Part B payment models.
The proposed changes to the current system are intended to eliminate the perceived incentive inherent in
the average sales price (ASP) ‘‘add-on’’ model (ASP plus 6%) for providers to purchase higher priced drugs
and biologics, and to create incentives to purchase lower priced drugs and biologics (collectively drugs).
Comments on the Proposed Rule are due May 9, 2016.
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