"Expanding Access: Medicaid's Outcomes-Based Agreements for Sickle Cell Gene Therapies"

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Source: Endpoints News
"Expanding Access: Medicaid's Outcomes-Based Agreements for Sickle Cell Gene Therapies"
Photo: Endpoints News
TL;DR

The Centers for Medicare and Medicaid Services (CMS) will implement a program to reimburse expensive gene therapies for sickle cell disease based on patient outcomes, marking a significant shift in financing high-cost treatments. Starting next year, Medicaid programs will test outcomes-based agreements to pay for two FDA-approved gene therapies, with list prices of $2.2 million and $3.1 million, respectively.

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