To reduce pharmaceutical drug costs and increase Medicaid transparency, New York's Governor, Kathy Hochul, and the New York Medicaid Redesign Team announced earlier in the year that the state would carve-out the pharmacy benefit from the Medicaid program. After being postponed for two years, the...
In March 2020, under former Governor Cuomo's administration, the New York Medicaid Redesign Team proposed that the state carve-out pharmacy benefits from the Medicaid program because of concerns involving pharmacy spend and provider transparency. The reform essentially changes prescription drug reimbursement from a managed care...
Changes in how pharmacy benefits are supplied under New York's Medicaid program are coming. Earlier this year, the state reported that to lower prescription drug costs, it would carve out its Medicaid pharmacy benefits and transition to a fee for service delivery model. Starting April...