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Price substitution policy works, OIG says 

September 5, 2023HME News Staff

WASHINGTON – Medicare and its enrollees have saved $73.4 million since 2013, because of CMS’s price substitution policy for Part B covered drugs, according to an August issue brief from the Office of Inspector General. They could have realized an additional $889,000 in savings in 2021, if CMS expanded the price-substitution criteria, the OIG says. When Congress established average sales prices (ASPs) as the basis for reimbursement for Medicare Part B drugs, it also provided a mechanism...

Average Manufacturer Price (AMP), Average Sales Price (ASP), Medicare, Office of Inspector General (OIG), Price Substitution

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