Tom Barker will speak on the panel “Understanding the Relationship Between Medicare, Medicaid and VA FSS Pricing” at ACI’s 20th Annual BIG FOUR Pharmaceutical Pricing Boot Camp. A solid grasp of government payor programs is essential for manufacturers navigating VA FSS pricing and contracting. This session will break down two major federal drug pricing programs, Medicare and Medicaid, explaining how they interact with VA pricing.
Key discussion points include:
Reviewing the Medicaid Drug Rebate Program (MDRP), including Average Manufacturer Price (AMP), Best Price (BP), and Unit Rebate Amount (URA)
Examining how changes in Medicaid rebate calculations may affect VA FSS pricing and Non-FAMP
Differentiating between Medicare Part B (Average Sales Price (ASP)-based reimbursement) and Part D (private plan negotiations)
Exploring how Medicare’s payment structures affect pricing strategies
Defining how federal purchasing programs interact with Medicare and Medicaid
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