Prediction certainty 3/5 debate potential 2/5

Yoo: CMS will launch payment guidance for breakthrough therapies despite election delays

Julie Yoo · Big Ideas in 2024: Democratizing “Miracle Drugs” with Julie Yoo · Dec 11, 2023 · at 21:41

Julie Yoo, General Partner at Andreessen Horowitz, discusses how regulatory bodies and government insurance administrators must adapt payment models for costly new drugs like GLP-1s and gene therapies.

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“And then CMS, which administers Medicare and Medicaid the government sponsored insurance programs in our country. They generally tend to be at the tip of the spear of any payment innovation for new classes of drugs and new classes of services. And so the expectation is that they will likely roll out some sort of program that you know, teaches the industry how they should be approaching these kinds of therapies and financing them. And so, but, you know, we're in an election year, and so I think expectations are that that cycle will be slow.”

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