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The path forward for the Biden administration: Lowering drug costs without raising premiums for seniors

© Getty Images The new Biden administration has started off strong, taking a thoughtful approach to any number of critical health care issues and pulling back a number of new regulations to take a fresh look at these public policy issues. To avoid significant disruption of the Medicare Part D program and avoid a spike in premiums at a time when seniors can least afford it, the administration should pull back the rebate rule, issued at the last minute by the outgoing administration. Prescription drug rebates are a primary negotiating tool used by pharmacy benefit managers (PBMs) to exert leverage on drug manufacturers to reduce costs. As validated in reports issued by the Government Accountability Office and Health and Human Services Office of Inspector General, rebates are fully passed through from the PBM to the plan sponsor and used to keep premiums low and affordable, which has led to the historic success of the Part D program.

PCMA Files Motion to Vacate Effective Date for Rebate Rule

Rebate Rule Implementation Date Would Bring Chaos to Medicare Part D Program January 26, 2021 (Washington, D.C.) The Pharmaceutical Care Management Association (PCMA) has filed a motion for summary judgment to vacate the effective date of the Trump Administration’s rebate rule. The motion for summary judgment, filed in the U.S. District Court for the District of Columbia, seeks to vacate the January 1, 2022 effective date for the rebate rule with respect to Part D. The motion is vitally important to ensuring the stability of the Medicare Part D program as the Biden Administration reviews the Trump Administration’s “midnight regulations” and PCMA proceeds with litigation to revoke the rule in its entirety.

Predictions For How Telehealth Law Will Evolve In 2021

Predictions For How Telehealth Law Will Evolve In 2021 By Nathaniel Lacktman Law360 is providing free access to its coronavirus coverage to make sure all members of the legal community have accurate information in this time of uncertainty and change. Use the form below to sign up for any of our weekly newsletters. Signing up for any of our section newsletters will opt you in to the weekly Coronavirus briefing. Sign up for our Cybersecurity & Privacy newsletter You must correct or enter the following before you can sign up: Email (NOTE: Free email domains not supported) Primary area of interest Law360 (January 21, 2021, 5:48 PM EST)

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