The Centers for Medicare & Medicaid Services (CMS) is conducting a program that focuses on drug pricing negotiations, effective in 2026.
Here is a list of the drugs that CMS is including in their price negotiations:
Here’s a summarized timeline and breakdown of the upcoming events:
CMS sends an initial offer of a maximum fair price for a selected drug to each drug company participating in the Negotiation Program, along with a justification for the proposed price.
The period during which CMS and drug companies can negotiate the prices for the selected drugs concludes on this date.
CMS will publicly release the negotiated maximum fair prices for the drugs that were selected for the 2026 negotiation.
The timeline provides a clear framework for drug companies and other stakeholders to understand the process and key dates associated with the CMS drug pricing Negotiation Program. This initiative appears to emphasize transparency and patient involvement, ensuring that multiple perspectives are considered in determining fair drug prices.
The Centers for Medicare & Medicaid Services (CMS) released in its 2025 Outpatient Prospective Payment System (OPPS) Final Rule a new Conditions of Participation (CoPs)
External audit volume more than doubled in 2024 over 2023 while total at-risk dollars increased fivefold to $11.2 million, impacting healthcare provider organizations’ cash flow
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