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International Reference Pricing for Medicare Drugs: New Lease on Life or Least Likely to Succeed?

On Sunday, September 13, 2020, President Donald Trump issued a long-anticipated Executive Order on international reference drug pricing (the “EO”), signaling that rulemaking on the prices that the Medicare program pays for drugs may be underway again. The EO introduces some new concepts for international reference drug pricing, including, significantly, application to Medicare Part D as well as Part B, and an even lower international reference price. However, like its predecessor pronouncements, the EO provides no specifics for implementation, leaving it unlikely that any changes to the Medicare program contemplated by the EO will go into effect, if ever, before the 2020 election, by the end of the year, or soon thereafter.

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CARES Act – Financial Relief Sections Applicable to Health Care Providers


Time to Read: 1 minutes Practices: Health Care

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Coronavirus Landing Site

A bipartisan agreement for the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), commonly referred to as Phase 3 of the federal government’s response to the coronavirus outbreak, was passed by the Senate on March 25, 2020. Key among its provisions are opportunities for health care providers to apply for financial relief. This chart summarizes the key financial relief sections that are applicable to health care providers, including (1) a $100 billion fund to reimburse certain providers for health care-related expenses or lost revenues; (2) an SBA 7(a) Paycheck Protection Program to provide no-fee loans to small businesses and 501(c)(3) non-profit organizations; (3) an expanded accelerated Medicare payment program (as further supplemented by CMS on March 28) to cover a broader group of providers and suppliers; and (4) a Federal Reserve lending program to provide direct loans to midsized businesses and non-profit organizations. 

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