AMCP Seeks Flexibility For Exchange Plan Formularies
This article was originally published in The Pink Sheet Daily
HHS and CMS are reviewing private health plans to see if they qualify for state-based health insurance exchanges. However, continued uncertainty about how the government will evaluate formularies for breadth of coverage and non-discrimination has prompted requests for additional guidance.
You may also be interested in...
Biden Administration’s regulatory freeze suspends HHS action to appoint an administrative dispute resolution board for the 340B program. Good news for manufacturers?
If not reversed by the Biden Administration, demo program that puts plans at increased risk in catastrophic phase would also enhance negotiating leverage for drugs in the protected classes.
Tactic aims to allow incoming Administration to scrutinize so-called ‘midnight rules’ issued in the final days of the Trump Administration before they take effect. Regulators may also solicit stakeholder comments on delayed rules.