Uncategorized – Page 3 – Mostly Medicaid

3 Things to Know This Week for HHS Pharma Teams: Week of 7/8/2024

CMS Cell and Gene Therapy (CGT) Access Model
OptumRx to pay $20M to settle opioid trafficking claims
Congress moves to expedite device coverage while waiting on CMS national coverage determination process.

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FDA launches Payor Communication Task Force
Public comment period for data collection under Medicare Drug Inflation Rebate Program
CT expands bio marker testing for Medicaid members.

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‌‌RPM use increased 1,300% for Medicaid members 2019-2021
TX Court finds claims tech vendor responsible for $1B in improper payments
Carallel rolls out family caregiver app to target Medicare Advantage/Medicaid revenues tied to dementia care

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‌DC court rules manufacturers can use contract pharmacy restrictions for 340B arrangements
Senate Finance Committee to address drug shortages using Medicare/Medicaid funding
Medicaid coverage of obesity drugs

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