Patient lobbyists were given some hope when the Biden HHS postponed a Feb. 3 webinar for plans interested in participating in a demonstration that would waive patient protections, but the solicitation for participation is still active and submissions are due next week.
Partnership for Part D Access sent a letter Thursday (Feb. 25) cosigned by 138 patient groups urging HHS to reverse a change to a demonstration that would weaken two pillars of patient protections in Part D: protected drug classes and the requirement that insurers cover at least two drugs in each class. The policies are included in the request for applications for the third year of a Part D demonstration, called the Part D Payment Modernization Model. The demo shares savings with plans that lower Part D catastrophic spending in return for those plans risking penalties when they exceed spending targets. Currently, plans don’t risk anything in the catastrophic phase, other than the 15 percent of spending for which they are responsible. The six protected classes ensure that Medicare Part D beneficiaries with serious conditions, including epilepsy, HIV, mental illness, cancer and organ transplants, have access to all medications available in those classes. Given that the policy is merely a change to an existing demonstration, it would be easier for the administration to reverse than a regulation. There are two ways to block the policy. First, the change was released after 4 p.m. on the last day Trump was in office, so it falls well within the time period covered by Biden administration’s freeze on midnight regulations, a patient advocate said. Also, CMS is allowed to change or rescind the demonstration at any time. If the Biden administration doesn’t protect the protected classes, patients advocates are willing to sue, according to HIV+Hepatitis Policy Institute Executive Director Carl Schmid. Schmid said the demonstration is supposed to test new approaches to care coordination and delivery and the changes made by the Trump administration go too far. “I think that there could be legal challenges based on that they are swaying too far for a demonstration project,” Schmid said.
20 Comments
Jred Hatty
7/24/2022 07:14:36 pm
I TESTED POSITIVE FOR HSV-2 A FEW MONTHS AGO.
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Lily
6/19/2024 04:44:46 am
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12/13/2023 12:21:53 pm
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5/12/2024 06:57:45 pm
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5/14/2024 06:32:49 am
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5/23/2024 12:12:12 pm
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5/25/2024 09:44:00 pm
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5/26/2024 10:23:55 am
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6/8/2024 09:43:16 am
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6/10/2024 08:23:27 am
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6/21/2024 04:59:31 pm
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6/28/2024 02:46:53 pm
I was so impatient to carry out some necessary research about crypto training and investing buzz. Unfortunately for me, I invested 65,000 GBP worth of bitcoin with a fraudulent company. I was happy to watch my account grow to 240,000 GBP within a couple of weeks.
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mark hold
7/4/2024 02:20:29 pm
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7/8/2024 02:57:09 pm
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7/16/2024 01:23:12 pm
Thanks for your post.
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Vivy
7/22/2024 08:21:12 am
Hi friends!
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ford smith
7/26/2024 07:29:30 am
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