Pharma companies could lose protections for Medicare drugs
Under a CMS proposal, some drugs could be kicked out by insurers if manufacturers raise the price by more than the consumer price index.
By Anna Edney|November 28, 2018 at 10:33 AM
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Pharmaceutical companies that raise the cost of certain drugs risk losing protections that guarantee Medicare coverage, part of a Trump administration proposal to give insurers leverage to negotiate lower prices.
The U.S. Centers for Medicare and Medicaid Services on Monday proposed exceptions to six protected classes of treatments for illnesses including HIV, depression and cancer. If a drug falls into the category, privately covered Medicare plans have to cover it — giving drug manufacturers significant power to charge what they want.
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