US health agency announces two Medicare pilot programs on drug pricing

Trump Admin Tests New Medicare Drug Pricing Pilot Programs

The U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) announced two pilot programs on Dec. 19, as the Trump administration tests new ways to lower out-of-pocket drug costs for Americans on Medicare. The first pilot program, Guarding U.S. Medicare Against Rising Drug Costs (GUARD), would apply an alternative approach to calculating prescription drugs for people on Medicare. GUARD will examin…

US health agency announces two Medicare pilot programs on drug pricing

Dec 19 (Reuters) – The U.S. government on Friday announced pilot programs to start in 2026 and 2027 that are aimed at ‍reducing out-of-pocket drug costs under the Medicare healthcare program for older and disabled Americans to prices on par with economically comparable countries. The Centers for Medicare and Medicaid Services said the programs, titled Guarding U.S. ‌Medicare Against Rising Drug Costs (GUARD) and ‌Global Benchmark for Efficient D…

CMS releases proposed rules on two drug pricing models

The Centers for Medicare & Medicaid Services Dec. 19 issued two proposed rules for implementing alternative drug pricing models. The first proposed rule would implement a new Medicare payment model called the Global Benchmark for Efficient Drug Pricing Model, also known as the GLOBE Model. The GLOBE Model would test an alternative calculation for manufacturer rebates under the Medicare Part B Inflation Rebate Program that uses a benchmark derive…