Medicare Drug Price Negotiation | Patient Education Webinar

Medicare Drug Price Negotiation: What Patients Need to Know

A Town Hall on How CMS Evaluates Drugs — and How Patients Can Provide Meaningful Input

Date: Wednesday, February 18
Time: 1:00 PM ET 

Medicare’s Drug Price Negotiation Program —often referred to as “IPAY” in policy discussions — is now being implemented.

As CMS selects drugs and sets Maximum Fair Prices, patients and advocates have opportunities to submit written comments and participate in listening sessions.

But what is CMS actually evaluating?
How is value determined?
And how can patients ensure their input is relevant and impactful?

This live Town Hall will provide a clear explanation of how the negotiation process works in practice and how patients can effectively engage in it.

New to Medicare Drug Price Negotiation?    [READ OUR ULTIMATE EXPLAINER]

Sign up now to learn:

  • How CMS selects drugs and sets a “Maximum Fair Price”
  • What data CMS evaluates during negotiation
  • How manufacturer-submitted information differs from patient input
  • Where patient and caregiver comments carry the most weight
  • What makes a listening session or written comment effective

I kept hearing about Medicare drug price negotiation in the news, but no one was explaining what it actually meant for patients like me. This helped me understand what’s really happening—and why our voices matter.” - Louise

Why This Conversation Matters

The Medicare Drug Price Negotiation program is no longer theoretical. Implementation is underway, and CMS is actively evaluating selected drugs.

Before participating in listening sessions or submitting public comments, patients and advocates need a clear understanding of:

  • What CMS is reviewing
  • How value is assessed
  • Where patient experience fits into the formal negotiation framework

This webinar is the first in a two-part education and engagement series.

This first session provides a structured overview of the negotiation process and how CMS evaluates selected drugs.

A follow-on webinar will focus on helping participants translate that understanding into effective written and verbal advocacy by learning to share their experiences in ways that align with what CMS is actually reviewing.

The goal is clarity before engagement.

Town Hall Format

This session will be led by Terry Wilcox, who will begin with a concise overview of how the Medicare Drug Price Negotiation framework operates and what CMS evaluates when setting a Maximum Fair Price.

She will then engage in a focused Town Hall discussion with Carl Schmid, Executive Director of the HIV+HEP Policy Institute.

The conversation will center specifically on:

  • What data CMS considers in the negotiation process
  • How manufacturer-specific data intersects with patient-submitted information
  • How therapeutic alternatives are evaluated
  • Where public comment and listening session input carry the most influence
  • How patients can prepare meaningful, relevant contributions

The final 5-10 minutes of the program will be reserved for audience questions. 

Host & Presenter, Co-Founder and Chief Mission Officer, Patients Rising
Terry Wilcox
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Featured Guest, Executive Director, HIV+HEP Policy institute
Carl Schmid
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Thank You to Our Supporters

This webinar is made possible in part through sponsorship support from multiple companies. We are grateful for their commitment to patient education.


Supporters do not influence the content or perspectives shared during this discussion.

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