US EditionOz to pitch GOP senators on need for Medicaid changes
- Mehmet Oz recently assumed leadership of CMS, where he will manage Medicare drug-price talks established under the 2022 Inflation Reduction Act aimed at lowering prescription costs.
- These negotiations apply within Medicare Part D but allow insurers to place negotiated drugs on higher-cost tiers and restrict access.
- Independent pharmacies face financial risks including delayed reimbursements and margin cuts, causing 93 percent to consider not stocking some negotiated drugs.
- Among the 15 drugs recently chosen for Medicare price-setting are a pair of asthma treatments, raising concerns about patient access as one in six individuals with asthma faces difficulties affording their medications.
- If CMS and Congress do not intervene to address formulary manipulation and payment issues, drug pricing changes intended to help patients may inadvertently increase expenses, reduce availability, and negatively impact those in need.
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6 Articles
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Oz to pitch GOP senators on need for Medicaid changes
Mehmet Oz, the administrator for the Centers for Medicare & Medicaid Services, is scheduled to speak to Republican senators at lunch Tuesday on the need to reform Medicaid, according to a GOP source familiar with the schedule.
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