When calculating the rebate owed by manufacturers for a rebatable drug that has more than one manufacturer, CMS proposes to codify the policy from section 50.13 of the revised Medicare Part B Drug Inflation Rebate Guidance to multiply the total rebate amount calculated for the billing and payment code by the following quotient: (Sum of the individual manufacturer's billing units sold during the applicable calendar quarter for all NDCs of the manufacturer assigned to the billing and payment code, as reported in the ASP data submissions) divided by (Sum of all manufacturers' total billing units sold during the applicable calendar quarter for all NDCs of the Part B rebatable drug assigned to the billing and payment code, as reported in the ASP data submissions) CMS welcomes comment on this calculation approach
(a) * * * (4) At least 75 percent of the MIPS eligible clinician, group, virtual group, subgroup, and APM Entity's patients that meet the measure's denominator criteria, regardless of payer for MIPS payment years 2026, 2027, 2028, 2029, and 2030
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AM point estimates are presented along with 95% confidence intervals (95% CI), calculated using a bootstrap naive procedure
Also, this incorporates their lengths and diameters
