AMCP Regulatory NewsBreaks

CMS Issues Explanations for the MFPs for the Medicare Drug Price Negotiation Program, Reminders Related to the Medicare Prescription Payment Plan, and Revised Final Guidance for the Manufacturer Discount Program

On December 20, 2024, the Centers for Medicare & Medicaid Services (CMS) issued explanations for the maximum fair prices (MFPs) for the drugs selected for the IRA’s Medicare Drug Price Negotiation Program for the initial price applicability year (IPAY) 2026.
Legislation & Regulation, Payment Systems
The United States Capitol Building

AMCP Comments on Enhancing Coverage of Preventive Services Under the Affordable Care Act

The Academy of Managed Care Pharmacy (AMCP) thanks the Department of Health and Human Services, the Department of Labor, and the Department of the Treasure (collectively, the Departments) for the opportunity to provide comments in response to the proposed rule titled “Enhancing Coverage of Preventive Services Under the Affordable Care Act [CMS 9887–P]” published in the Federal Register on October 28, 2024.
Legislation & Regulation
AMCP 2024 AAO report feature

What’s Driving Managed Care Forward: A Data-Driven Look at AMCP’s AAO Report

In today’s complex health care landscape, data-driven insights are key to better decision-making. AMCP’s 2024 Access, Affordability, and Outcomes (AAO) report highlights how managed care strategies improve patient care and reduce costs. From employer-covered insurance to the benefits of 90-day medication supplies, the report offers actionable data on affordability, adherence, and savings. Explore the full report to see how AMCP supports better, more affordable care.
Real World Evidence & Research
AMCP Regulatory NewsBreaks

CMS Issues Final Rule on Standards for Electronic Pharmacy Transactions and Medicaid Pharmacy Subrogation

On Dec. 12, 2024, the Centers for Medicare and Medicaid Services (CMS) issued a final rule titled, “Modifications of Health Insurance Portability and Accountability Act of 1996 (HIPAA) National Council for Prescription Drug Programs (NCPDP) Retail Pharmacy Standards; and Modification of the Medicaid Pharmacy Subrogation Standard” (Final Rule).
Legislation & Regulation