Medicaid’s Best-Price Rule May Not Be Such a Big Problem image

Physician's Weekly, October 23, 2017
Physician's Weekly, quoting Rachel E. Sachs (Academic Fellow Alumna)


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From the article:

Rachel Sachs, J.D., M.P.H., from Washington University in St. Louis, and colleagues discussed Medicaid’s “best-price rule” and the extent to which it might frustrate the goal of paying for value. According to the rule, a pharmaceutical company offering a large discount to a payer in any type of contracting agreement must make that same discount available to Medicaid. The rule is triggered when a discount exceeds the mandatory statutory rebate of 23.1 percent.

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health care finance health law policy medicaremedicaid pharmaceuticals rachel sachs regulation