Health and Disability

Through the Part B Drug Payment Model, CMMI recently proposed to alter the way that doctors are paid for medications that they supply and administer to Medicare beneficiaries. The goal of the proposal is to address payment incentives that may lead some providers to prescribe higher cost medications rather than lower cost, equally effective alternatives. This proposal is part of a broader movement away from simple fee-for-service structures, which pay for care based on the volume of services provided, and towards a health care system that rewards efficient, high quality care.

The coalition letter expresses support for these broad transformations and highlights the importance of ensuring that beneficiaries needs are met throughout the transition to value-based payment models. E