JD Supra

CMS Releases MFN Drug Pricing Models for Medicare Parts B and D and Medicaid Amid Trump Administration’s Push for Direct-to-Consumer Strategy

On December 19, 2025, the Centers for Medicare & Medicaid Services (CMS) released GLOBE (Global Benchmark for Efficient Drug Pricing Model) and GUARD (Guarding U.S. Medicare Against Rising Drug Costs) ...
JD Supra

CMS Proposes GLOBE and GUARD Drug Pricing Models to Reduce Medicare Costs

In December, the Centers for Medicare & Medicaid Services (CMS) proposed two new drug pricing models designed to address sustained growth in prescription drug spending across Medicare, driven in part ...
Becker's Hospital Review

New CMS model aims to improve medication use among Part D Medicare beneficiaries

The CMS Center for Medicare and Medicaid Innovation has announced a new model to test strategies that aim to improve medication use among Medicare beneficiaries enrolled in Part D. The Part D Enhanced ...
The National Law Review

Colorado Limits Medicaid Coverage of Definitive Drug Testing

We collaborate with the world's leading lawyers to deliver news tailored for you. Sign Up for any (or all) of our 25+ Newsletters. Some states have laws and ethical rules regarding solicitation and ...
Newsweek

Can Tackling Addictions Reduce Medicaid Costs?

Discussions around Medicaid costs have become more heated than ever in recent months as President Donald Trump's administration tries to push its budget bill through the legislative ranks. House ...
Forbes

The Dangers Hidden In CMS’ Drug Pricing Regulation

CMS recently announced the next 15 drugs that will be subject to price negotiations under the Inflation Reduction Act of 2022 (IRA). These are negotiations in name only because CMS can levy penalties ...
Health Affairs

Drug Overdose Deaths Are Finally Slowing -- Medicaid Cuts Would Undermine That Progress

State and federal actions to address substance use disorders (SUD) have begun to show progress. The provisional number of drug overdose deaths plummeted by nearly 24 percent from 2023 to 2024 and is ...
Hosted on MSN

CMS Unveils ‘GENEROUS’ Drug Payment Model To Secure Lower Medicaid Prescription Costs

The Centers for Medicare & Medicaid Services (CMS) today announced a landmark initiative, the GENErating cost Reductions fOr U.S. (GENEROUS) Medicaid Model, aimed at significantly lowering ...
STAT

Trump administration delays effort to address Medicare drug price negotiation loophole

John Wilkerson is a Washington correspondent for STAT who writes about the politics of health care. He is also the author of the twice-weekly D.C. Diagnosis newsletter. WASHINGTON — The Trump ...