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S.1221 and H.R. 1392 will amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under Part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's Average Sales Price (ASP).
The QI Medicare savings program provides two significant benefits. Decreased Medicare costs. In 2025, the Part B premium costs $185 per month. Because the QI program covers this cost, a person can ...
The Medicare Shared Savings Program (MSSP) encourages healthcare providers to form Accountable Care Organizations (ACOs) to improve patient care and reduce costs. Learn more.
The QDWI program helps a person pay Medicare Part A premiums. Medicaid limits enrollment to individuals who meet the following criteria: is aged under 65 years, is working, and has a disability.
The study, compiled from newly available public data noted that the 340B drug discount program was designed by Congress to help safety net providers improve access to prescription medicines for uninsured, vulnerable patients in the outpatient hospital setting.
Subsequent legislation, including the Affordable Care Act, “closed” the doughnut hole from the perspective of beneficiaries, largely through the creation of a manufacturer discount program. [ 4 ] In 2019, about three-quarters of Medicare enrollees obtained drug coverage through Part D. [ 5 ] Program expenditures were $102 billion, which ...
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