The Trump administration has unveiled yet another new payment model, this one focused on the cost of GLP-1 therapies. The Centers for Medicare & Medicaid Services (CMS) on Tuesday announced the Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth, or BALANCE, model. The program seeks to make it easier for Medicare Part D plans and Medicaid programs to offer coverage for GLP-1s, while managing the cost to patients and taxpayers. Under the model, the CMS will negotiate with the manufacturers of these drugs to secure lower net prices and standard coverage terms.
Read the full article: CMS Launching Payment Model to Boost Access to GLP-1s in Medicaid, Part D //
Source: https://www.fiercehealthcare.com/regulatory/cms-launching-payment-model-boost-access-glp-1s-medicaid-part-d