New data from the summer Vizient Spend Management Outlook show that in the inpatient space, high-cost drugs, especially CAR-T treatments like Yescarta and Breyanzi are major drivers of drug spend. To help offset these costs, certain therapies may qualify for additional reimbursement through the New Technology Add-On payment (NTAP), a program that supports innovations that substantially improve care for Medicare beneficiaries. Carolyn Liptak, Pharmacy Executive Director at the Vizient Center for Pharmacy Practice Excellence joins host Stacy Lauderdale, Associate Vice President of...
New data from the summer Vizient Spend Management Outlook show that in the inpatient space, high-cost drugs, especially CAR-T treatments like Yescarta and Breyanzi are major drivers of drug spend. To help offset these costs, certain therapies may qualify for additional reimbursement through the New Technology Add-On payment (NTAP), a program that supports innovations that substantially improve care for Medicare beneficiaries. Carolyn Liptak, Pharmacy Executive Director at the Vizient Center for Pharmacy Practice Excellence joins host Stacy Lauderdale, Associate Vice President of Evidence-Based Medicine and Drug Information at Vizient to cover the purpose of this add-on payment, the criteria necessary for drugs to qualify and strategies to capture its full value.
Guest Speaker:
Carolyn Liptak, MBA, RPh
Pharmacy Executive Director
Vizient Center for Pharmacy Practice Excellence
Host:
Stacy Lauderdale, PharmD, BCP
Associate Vice President
Vizient Center for Pharmacy Practice Excellence
Show Notes:
[01:02-03:38] Overview of NTAP and why CMS created the program
[03:39-05:02] How DRG recalibration depends on broad adoption
[05:03-07:17] Criteria for medications to quality for NTAP status
[07:18-08:24] Who determines whether a therapy represents substantial clinical improvement
[08:25-10:05] The value NTAP provides to hospitals
[10:06-11:51] How to locate products that are eligible for NTAP
[11:52-16:22] Best practices to ensure that NTAP payment is captured when the drug is used
[16:23-17:22] Resources for additional information
Links | Resources:
- Payment Updates: Preparing for 2026 - On Demand
- New Medical Services and New Technologies
- FY 2026 IPPS Final Rule Home Page
- MAC Implementation File 8 (ZIP) – FY 2026 New Technology Add-on Payment
- CMS Web Pricer
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