Tag Archives: payment

Final inpatient payment rule confirms price transparency push

Dive Brief: CMS is finalizing a price transparency push that uses median payer-specific negotiated charges from Medicare Advantage organizations to inform its calculations for inpatient hospital rates beginning in 2024, according to a final rule posted Wednesday. The Inpatient Prospective Payment System rule for 2021 includes a rate increase of 2.9% for general acute care… Read More »

Amgen snags another Enbrel outcomes-based payment deal as it seeks to prop up aging blockbuster

When Amgen signed an outcomes-based reimbursement deal for its blockbuster rheumatoid arthritis drug Enbrel with Harvard Pilgrim Healthcare in 2017, it seemed like a strategy for preserving the market share of a product on the cusp of losing its patent protection. The patent threat has since been pushed off several years—but Amgen is still making… Read More »