TRP_1170x120_12-19-19

Epstein Becker Green

States are questioning Medicaid MCO Rx benefits

States are questioning Medicaid MCO Rx benefits

In order to address rising drug prices, state Medicaid programs have been searching for new and creative means to better control their pharmacy benefit and mitigate the budgetary impact. This has led to an interesting trend reversal in how state Medicaid programs are structuring their management and coverage of pharmacy benefits. Since the passage of

A chance for pharmacies to showcase health care services

A chance for pharmacies to showcase health care services

On October 17, 2019, the Department of Health and Human Services Office of Inspector General (OIG), published a Proposed Rule providing for new safe harbors under the Anti-Kickback Statute and civil monetary penalty (CMP) law for certain value-based arrangements between various health care stakeholders. The comment period closed on December 31, 2019, and OIG received