State Medicaid programs continue to balance serving eligible beneficiaries and controlling costs. In an environment sharply focused on the cost of drugs, it is increasingly critical to understand the Medicaid pharmacy benefit and the role health plans play in managing that benefit.
Key topics include:
- Medicaid pharmacy benefit requirements stemming from §1927 of the Social Security Act
- Flexibilities available to states to structure their drug coverage, particularly through managed care plans, including the most innovative state approaches
- Tools and opportunities to control pharmaceutical spending available within Medicaid managed care
- The future of value-based payment and new financial arrangements with Medicaid and managed care programs
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Anthony Fiori, Managing Director, Manatt Health
Alex Dworkowitz, Associate, Manatt Health
October 17, 2018
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