To reign in prescription drug costs and increase Medicaid program transparency, New York's Governor, Kathy Hochul, and the New York Medicaid Redesign Team announced earlier this year that the state would carve-out the pharmacy benefit from the Medicaid program. After being delayed for two years,...
In March 2020, under former Governor Cuomo's administration, the New York Medicaid Redesign Team advised that the state carve-out pharmacy benefits from the Medicaid program due to concerns pertaining to pharmacy spend and provider transparency. The reform fundamentally transitions prescription drug reimbursement from a managed...
Changes in how pharmacy benefits are provided under New York's Medicaid program are coming. Earlier this year, the state reported that to decrease prescription drug costs, it would carve out its Medicaid pharmacy benefits and transition to a fee for service delivery model. On April...