legislative

West Virginia’s System Possible Model for Cheaper Medicaid Drug Prices

West Virginia’s System Possible Model for Cheaper Medicaid Drug Prices

Ohio is struggling to bring transparency to the $2.5 billion its Medicaid system spends through its managed-care plans on prescription drugs each year. As it does that, one of its neighbors decided to take a drastically different path: Cut out the plan managers altogether. West Virginia’s model puts health care outcomes over profits by using the West Virginia University School of Pharmacy to recommend drugs for patients. That saved the state $30 million in one year.

CMS’ Proposed DIR Fee Reform Garners Industry Support

CMS’ Proposed DIR Fee Reform Garners Industry Support

The latest effort from the Centers for Medicare and Medicaid Services is garnering industry attention. CMS on Tuesday unveiled a proposed rule, titled “Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses,” which includes provisions focused on direct and indirect remuneration, or DIR, fee reform.

How to Become a Mutual Drug Member

Learn More