December 19, 2025
In follow-up to the Executive Order issued in May, the Centers for Medicare & Medicaid Services (CMS) today issued two proposed rules that would implement Most Favored Nation (MFN) style pricing for Medicare Parts B and D (GLOBE/GUARD). In response, the EACH/PIC Coalition issued the following statement:
“The EACH/PIC Coalition remains concerned that most favored nation proposals are unlikely to deliver meaningful savings to patients. These proposals typically offer no guarantee that any price reductions will translate into lower out-of-pocket costs or improved affordability at the patient level. Worse, MFN-style policies risk compromising access to care and creating new barriers for patients who depend on stable access to medically appropriate therapies.
“There are better ways to lower costs and improve affordability for patients. Reforms should focus on resolving patient-identified obstacles to care, including insurance design, utilization management, cumulative health costs, and practices that prevent savings from reaching patients. Addressing these structural barriers would do far more to improve affordability and continuity of care than blunt price controls that ignore how patients actually experience the system.
“We urge policymakers to reject MFN-style price setting and instead pursue patient-centered reforms that protect access, preserve physician-patient decision-making, and target the real drivers of patient costs. We stand ready to work with Congress on solutions that will meaningfully lower costs for patients and improve access to the treatments they need, like holding pharmacy benefit managers accountable.”
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The Ensuring Access through Collaborative Health (EACH) and Patient Inclusion Council (PIC) is a two-part coalition that unites patient organizations and allied groups (EACH), as well as patients and caregivers (PIC), to advocate for drug affordability policies that benefit patients.