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The 2021 Proposed Payment Notice: Insurer Provisions
Katie Keith, in Health Affairs Forefront Link to more items from this source
[Guidance Overview]
Feb. 3, 2020

"CMS wants to require each state to annually report on state benefit mandates that exceed the EHB.... CMS proposes a series of changes to MLR standards.... insurers would be required to deduct prescription drug rebates and any other drug-related price concessions from incurred claims under the MLR.... CMS proposes to amend a policy on drug manufacturer coupons and copay assistance that was finalized in the 2020 payment rule but later walked back in guidance from August 2019."

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