Medication Adherence Quality Measures In Part D Signal Opportunity For Biopharma
For the first time, the Centers for Medicare and Medicaid Services is using adherence in three specific drug categories – statins, antihypertensive and oral antidiabetics – to help calculate “star” ratings for Medicare Part D plans.
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Former CMS acting administrator Andy Slavitt says agency’s direction during Biden administration depends on nominee, but trust fund’s looming insolvency will be ‘an issue you can’t avoid.’ The president’s priorities around health equity, racial justice and mental health will make their way into CMS policy and demonstration models, Slavitt suggests.
Demonstration, which may not survive scrutiny from the Biden Administration, includes some protections, such as prohibiting Tennessee from excluding drugs described in the Medicare Part D protected classes policy.