Advance Home-Based Care Toadvancehome- based care, the CMS administrator should for- malize changes to telehealth reimbursement. Working with Congress where needed, the ad- ministrator shouldmake permanent some of the changes to telehealth reimbursement that were instituted under the COVID-19 public health emergency.Approaches could include continued reimbursement at parity for audiovisual tele- health visits, with more modest payments for telephonic and asynchronous interactions. It will be important to ensure that reimbursement policies position telehealth as a substitute for more expensive and less accessible sites of care and do not induce unnecessary spending and utilization. The CMS administrator should also develop
reimbursement models for home-based care. Under the authority of CMMI, the administrator should create and test new payment models for home-based acute, postacute, and long-term care. Improve Affordability Of Drugs And Oth-er Therapeutics The FDA commissioner should expand on recent efforts to reduce bar- riers to generic and biosimilar development and market entry with the goal of increasing compe- tition, improving access, and reducing prices. Potential strategies include enabling more effi- cient pathways for the approval of safe and effec- tive generic and biosimilar versions of complex drugs that often face no or limited competition, even after patents and exclusivities have lapsed; closing regulatory loopholes that can be ex- ploited to maintain a monopoly through the granting of patents and other exclusivities; har- monizing regulatory filing requirements for ge- neric medicines with other global regulators; and fostering the development of advanced manufacturing platforms that lower costs and improve quality and reliability. This is especially important for biologics, for which manufactur- ing challenges are a barrier to the entry of bio- similars.
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