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Rural Pharmacy and Prescription Drugs News

News stories from the past 60 days.

CMS: Medicare Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs Federal Register
Dec 14, 2017 - Corrected republication of a final rule from the Centers for Medicare and Medicaid Services (CMS) revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) Payment System for calendar year 2018. Included in the rule is a provision that reduces Medicare Part B payments to Disproportionate Share Hospitals (DSHs) and Rural Referral Centers (RRCs) for drugs acquired through the 340B Drug Pricing Program. Effective January 1, 2018, payments to affected facilities will be reduced from average sales price (ASP) plus 6 percent, to ASP minus 22.5 percent. Among others, Critical Access Hospitals (CAHs) and rural Sole Community Hospitals (SCHs) are excluded from this payment adjustment. Comments regarding provisions of the rule must be submitted no later than 5:00 p.m. Eastern on December 31, 2017.
Source: Federal Register
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Massachusetts Grabs Spotlight By Proposing New Twist On Medicaid Drug Coverage
Nov 21, 2017 - Highlights the Massachusetts state Medicaid program's demonstration proposal, submitted to the Centers for Medicare and Medicaid Services (CMS). The proposal would allow the state to negotiate discounts for prescription drugs and to exclude drugs with limited treatment value. Discusses possible ramifications if this proposal were approved and implemented.
Source: Kaiser Health News
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Trump Administration Moves to Alter Drug Discount Program That Many Rural Hospitals Rely On
Nov 21, 2017 - Details the 340B prescription drug program that allows hospitals serving low-income patients to buy medication at a discount and sell it to local pharmacies in order to bolster their bottom lines. In rural areas, this program has prevented hospital closures. A final rule from the Centers for Medicare and Medicaid Services (CMS) scheduled to go into effect on January 1, 2018 would reduce funding for hospitals in the program. Includes commentary from both those who support and those who oppose the rule.
Source: KBIA
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CMS Proposes Policies to Lower the Cost of Prescription Drugs and Combat the Opioid Crisis
Nov 16, 2017 - The Centers for Medicare and Medicaid Services (CMS) have issued a proposed rule intended to provide more affordable prescription drugs to Medicare Part D enrollees and to allow Medicare to combat overprescribing and abuse of opioid medications. A fact sheet on this proposed rule is available.
Source: Centers for Medicare and Medicaid Services
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CMS: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs Federal Register
Nov 13, 2017 - Final rule from the Centers for Medicare and Medicaid Services (CMS) revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) Payment System for calendar year 2018. Included in the rule is a provision that reduces Medicare Part B payments to Disproportionate Share Hospitals (DSHs) and Rural Referral Centers (RRCs) for drugs acquired through the 340B Drug Pricing Program. Effective January 1, 2018, payments to affected facilities will be reduced from average sales price (ASP) plus 6 percent, to ASP minus 22.5 percent. Among others, Critical Access Hospitals (CAHs) and rural Sole Community Hospitals (SCHs) are excluded from this payment adjustment. Comments regarding provisions of the rule must be submitted no later than 5:00 p.m. Eastern on December 31, 2017.
Source: Federal Register
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Last Updated: 12/13/2017