tci Medicare Compliance & Reimbursement - 2021 Issue Q3

Medicare Part B Drugs: Feds Keep Most Favored Nation Drug Model on Hold

Urgent: Submit comments by the Oct. 12 deadline. After months of legal wrangling and public outrage, the feds propose to rescind the much-maligned Most Favored Nation (MFN) Model associated with Medicare Part B drug prices. Background: Last November, the Centers for Medicare & Medicaid Services (CMS) published an interim final rule (IFR) in the Federal Register in response to an executive order from President Trump to find alternative ways for both Medicare Part B and D to pay for drugs. The IFR offered a globally-inspired solution for Part B with the implementation of the MFN Model. By “aligning...

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