In Modern Healthcare, Margaux Hall Examines CMS Proposal for Medicare Part D Drugs

In The News
March 11, 2022
Capital Insights.

In Modern Healthcare, health care partner Margaux Hall (Washington, D.C.) examined a Centers for Medicare & Medicaid Services proposal to require Part D plan sponsors to pass pharmacy price concessions through to patients at the pharmacy counter.

Margaux explains that pharmacy price concessions are a contentious issue between pharmacies and health insurers. She expects further litigation because the manner in which price concessions are reported for purposes of Part D drug pricing will have a significant impact for health insurers within the competitive market for Medicare Part D.