GLOBE
Global Benchmark for Efficient Drug Pricing Model
The Global Benchmark for Efficient Drug Pricing (GLOBE) Model is a proposed mandatory model that would assess a rebate for certain drugs payable under Medicare Part B if the prices exceed those paid in economically comparable countries. CMS expects GLOBE would reduce out-of-pocket drug costs for people with Medicare and result in savings to Medicare while preserving or enhancing beneficiaries’ quality of care.
Innovation
CMS would use manufacturer rebates when the price of the drug exceeds that of an international benchmark based on what other comparable countries pay.
The Problem
Americans increasingly pay more for medications compared to other countries, potentially putting patients in a difficult position of having to choose between paying for necessary treatments or for other critical expenses of daily living.
The Solution
Under GLOBE, CMS would use manufacturer rebates when the price of the drug exceeds that of an international benchmark based on what other comparable countries pay — making the net cost to Medicare for certain Part B drugs similar to what other comparable countries pay.
Expected Outcomes
GLOBE would lower out-of-pocket costs for people with Medicare, helping ensure they can afford and continue to access certain necessary Part B medications, while preserving or enhancing beneficiaries’ quality of care.
Strategy
GLOBE advances the Innovation Center’s commitment to help people with Medicare live healthier lives while also promoting the sustainability of the Medicare program.
Model Goals
- Reduce out-of-pocket drug costs for people with Medicare
- Result in savings to Medicare
- Preserve or enhance beneficiaries' quality of care
- Make the net cost to Medicare for certain Part B drugs similar to what other comparable countries pay
Patient Eligibility
People with Medicare receiving certain Part B medications administered in a clinical setting.
- Must be receiving certain Part B drugs
- Drugs must be administered in a clinical setting
Provider Eligibility
Care Categories
Clinical Setting Administered Drugs
CMS Benchmarks & Thresholds
operational
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