We now have a glimpse behind the curtain of how Medicare arrives at so-called maximum fair prices of prescription drugs it ...
When Congress created the Part D benefit for Medicare beneficiaries, it also required group health plan sponsors and certain ...
The 2024 eligibility criteria for the four MSPs are detailed below. The Centers for Medicare and Medicaid Services (CMS) will publish updated eligibility criteria in mid-2025. This program can ...
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Health insurers can't rely on AI to decide Medicare coverage, according to new federal guidelinesthe CMS prohibits health insurance companies from relying entirely on any AI or algorithmic systems to determine patient care or coverage, or to shift coverage criteria over time. The agency ...
In another top story, CMS announced 15 new drugs for the second ... diagnosing obesity A new international commission report has proposed new criteria for diagnosing obesity that could ...
The Centers for Medicare & Medicaid Services (CMS) recently announced two significant updates to Workers’ Compensation ...
Premier has called on CMS to enhance Medicare Advantage and Part D policies for 2026, emphasizing policies to protect access to care, particularly in rural areas.
The CMS listed Ozempic, Rybelsus and Wegovy ... Semaglutide’s selection was based on a set of criteria in the Inflation Reduction Act. The drug has to be more than seven years old ...
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