HHS Has Plans to Pay for Drugs in Medicare Part B Based on International Prices

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The U.S. Department of Health and Human Services (HHS) has announced it will test a new payment model that aims to substantially lower the cost of prescription drugs and biologics covered under the Medicare Part B program. The new system would, for the first time, base payment for these drugs on the typically lower drug prices paid in other countries.

But Part B spending accounts for just a small slice 5 percent of the total national drug bill.

In a new To the Point post, the Commonwealth Fund’s Shawn Bishop, Christina Ramsay, and Lovisa Gustafsson argue that HHS could instead pursue a broader cost-reduction strategy that adapts core elements of the international approach to drug pricing. Taking bold action would put in place a system that could help lower drug costs for many more Americans.

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