1 / 5

Jay Gressing , Shire

Jay Gressing , Shire. Amendment to Section 1927 of the SSA Act regarding Medicaid Payments for Covered Outpatient Drugs. A Federal Legislative Solution to Improving Medicaid Coverage of Rare Disease Therapies. Jay Greissing Dir., U.S. Gov’t Relations and Public Policy September 19, 2014.

felicia-beach
Download Presentation

Jay Gressing , Shire

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Jay Gressing, Shire Amendment to Section 1927 of the SSA Act regarding Medicaid Payments for Covered Outpatient Drugs

  2. A Federal Legislative Solution to Improving Medicaid Coverage of Rare Disease Therapies Jay Greissing Dir., U.S. Gov’t Relations and Public Policy September 19, 2014

  3. Medicaid Coverage Restrictions

  4. Solution • Prohibit Medicaid plans from using restrictive step therapy protocols when: • The drug is prescribed for a rare disease; and • The rare disease is an FDA approved use

  5. Why Should The Community Partner to Petition Congress? • Equity for individuals w/ rare conditions • Physician and patient preference • Innovation of and access to individualized treatments • Continuity of care

More Related