To enable CMS to calculate the benchmark period manufacturer price and inflation rebate amounts for these NDC-9s, CMS is proposing in ( 428.202(c)(3) and (4) to identify the payment amount benchmark period for such NDC-9s as the first calendar year, which would be no earlier than calendar year 2021, in which such drug has at least 1 quarter of AMP data reported
Enhanced Healing: Cessation also speeds up the rate at which injured tissues recover, especially those lining the esophagus, since inflammation subsides faster after one stops smoking, thus reducing chances for complications arising from GERD (gastroesophageal reflux disease)
Additionally, any payments the ACO receives under this proposal must be repaid to CMS, and CMS would be protected by the ACOs' repayment mechanisms in the event that an ACO does not earn shared savings or cannot otherwise repay the amount owed to CMS
Those products are harder to regulate because they're mostly sold at street kiosks, for a fraction of the price of cigarettes
At this time, CMS is not proposing this alternative because CMS would prefer to rely on data that are already reported to the PVP, as using these data would help to minimize reporting burdens and may ( result in cleaner and more accurate data due to the quality checks performed on the PVP data for purposes of compliance with the 340B Program