1. Budget Proposals Have Myriad Effects on the Industry
Source: Retrieved from: accessed February 2018;
Health Strategies Group, Value, Quality, and Reimbursement, and Insurance Benefit Design, February 2018.
Medicare POS rebates pass-through
Test eliminating Medicaid best price
Medicare biosimilar discount
Part B payment changes
Medicare catastrophic limits
Expanded MA benefits
Level of Impact
Effect on Business
Low
Medium
High + –
Neg
Pos
Star ratings adjustment
IPAB repeal
Medicaid line extension penalty
Part D formulary narrowing
New Medicare drug price reporting rules
Faster Medicare coverage gap fill
Medicare Part B to D shifts