Health Policy Updates

Alerts and links on late-breaking news impacting community cancer care
Court Strikes Down HHS Copay Accumulator Rule
October 2, 2023

Court Strikes Down HHS Copay Accumulator Rule

Court sides with patient groups; copay accumulators now limited to branded drugs with generic equivalents.

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HHS Names First Ten Drugs for Medicare Negotiations
August 29, 2023

HHS Names First Ten Drugs for Medicare Negotiations

HHS Names First Ten Drugs for Medicare Negotiations

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The Network Sends Letter in Support of Bill to Stop Payment Cuts to  Radiation Oncology
August 22, 2023

The Network Sends Letter in Support of Bill to Stop Payment Cuts to Radiation Oncology

The Network recently sent a support letter to congressional members on mitigating payment cuts to radiation oncology

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Dr. Ralph Heaven Pens Op-Ed on Need for Site Neutral Payments in Cancer Care
August 21, 2023

Dr. Ralph Heaven Pens Op-Ed on Need for Site Neutral Payments in Cancer Care

Dr. Ralph Heaven of Texas Oncology Abilene publishes op-ed in Dallas Morning News on need for site neutral payments in Cancer Care.

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CMS Releases 2024 Medicare<br>Payment Proposed Rule
July 19, 2023

CMS Releases 2024 Medicare
Payment Proposed Rule

On July 13, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule for the 2024 Medicare Physician Fee Schedule (PFS) and Quality Payment Program (QPP).

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The US Oncology Network Applauds Reintroduction of the Medicare Patient Access to Cancer Treatment Act
July 6, 2023

The US Oncology Network Applauds Reintroduction of the Medicare Patient Access to Cancer Treatment Act

The bill, introduced by Reps. Jodey Arrington (TX-19), Debbie Lesko (AZ-08), and Michael Burgess, M.D. (TX-26), would establish a more equitable reimbursement structure for cancer care delivered in the community setting.

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The US Oncology Network Applauds Texas Lawmakers for Passing Legislation to Prohibit White Bagging Mandates
May 19, 2023

The US Oncology Network Applauds Texas Lawmakers for Passing Legislation to Prohibit White Bagging Mandates

TX HB 1647 now goes to the Governor’s Desk for signature. WOODLANDS, Texas, May 17, 2023 —The US Oncology Network today commends Texas lawmakers for passing HB 1647 to prohibit pharmacy benefit managers (PBM) or insurers from requiring patients with life-threatening conditions to receive their clinician-administered drugs from a PBM mail-order specialty pharmacy. Prior to…

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CMS Releases 2024 Policy and Technical Changes to MA and Part D Final Rule
April 7, 2023

CMS Releases 2024 Policy and Technical Changes to MA and Part D Final Rule

CMS issued the Medicare Advantage and Part D Final Rule for Contract Year 2024.

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HHS Releases Initial Guidance for Medicare Drug Price Negotiation Program for Price Applicability Year 2026
March 15, 2023

HHS Releases Initial Guidance for Medicare Drug Price Negotiation Program for Price Applicability Year 2026

The Negotiation program was created by the Inflation Reduction Act and authorizes CMS to negotiate Maximum Fair Prices for certain high expenditure, single source drugs and biological products.

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White House Previews FY 2024 Budget, Includes Proposals to Expand IRA Drug Negotiation Program
March 7, 2023

White House Previews FY 2024 Budget, Includes Proposals to Expand IRA Drug Negotiation Program

On March 7, the White House released a fact sheet previewing proposals in the President’s forthcoming FY2024 budget aimed at extending the solvency of the Medicare program.

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