CMS welcomes comments on the extent to which, in a scenario where NDCs of multiple manufacturers are assigned to the same billing and payment code, a single manufacturer that accounts for all positive ASP units could potentially be responsible for the full rebate amount for the entire billing and payment code
This may reflect the heightened life and social challenges, expectations, interpersonal alienation, and biological impulses in this demographic group, which may predispose individuals to drug experimentation as a form of self-medication (42)
We recognize the important role of gathering input and information from the CMS Innovation Center models (described in more detail in section II.G.2.a.(1) in this proposed rule), comment solicitations, research from other public and private entities, the work of all parties involved in furnishing primary care, and from the public at large
Archived from the original on November 6, 2020
However, testing demonstrated that PCI episodes with and without STEMI appear to have similar cost profiles and involve similar clinician types