decisionhealth Newsletters, Part B News - 2021 Issue 8 (August)
CMS rescinds Most Favored Nation (MFN) model
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Article Overview
This article explains a CMS proposed rule to rescind the Most Favored Nation model and summarizes the legal and procedural context behind that action. It is relevant to readers tracking Medicare payment policy, Federal Register rulemaking, and broader CMS efforts related to Part B drug payment policy and beneficiary access. The article also notes the public comment timeline and CMS’s stated interest in future payment reform approaches.
Why This Topic Matters
It helps stakeholders understand an important CMS policy reversal, the status of a previously issued Medicare payment model, and the broader regulatory direction for Part B drug reimbursement.
What You Will Learn
- The regulatory status of the Most Favored Nation model
- How CMS describes the reason for proposing rescission
- The legal and procedural background surrounding the model
- The public comment process and timing
- The broader policy area CMS says it continues to evaluate
Who Should Read This
- Medical coders
- Revenue cycle professionals
- Compliance teams
- Health policy analysts
- Payer and provider administrators
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