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Tag: Insurance: Medicare

Heterogeneity Found in Appropriate Use Criteria for Imaging of CAD

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CMS-qualified AUC for coronary artery disease heterogeneous, sometimes conflict with respect to appropriateness

Medicare Will Cover New Class of Alzheimer Drugs if Fully Approved by FDA, With...

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Drug makers will also have to gather and keep data in a registry showing how the drugs are working in the real world

Medication for Opioid Use Disorder Dispensed More After Medicare Policy Change

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Methadone dispensing up after 2020 without displacing use of buprenorphine

Medicare Spending Would Increase $2.0 to $5.1 Billion With Lecanemab

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$2.0 to $5.1 billion would include lecanemab and ancillary costs; estimated annual per-patient coinsurance could reach $6,636

Other Countries Rate Half of Top-Selling Drugs in Medicare as Low Added Benefit

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These low added therapeutic-rating drugs accounted for $19.3 billion or one-third of Medicare annual net spending in 2020

Psychiatrist Reimbursement Lower With Medicaid Than Medicare

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State-to-national Medicaid indices for psychiatrists' mental health services varied from 0.46 to 2.34 in Pennsylvania and Nebraska, respectively

Biden Administration Calls for Crackdown on Misleading Medicare Ads

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New rule would ban ads that have confusing words, imagery, or logos, or that do not specifically mention a health insurance plan by name

Medicare Eligibility Linked to Improvements in Health Care Access

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For low-income adults, Medicare eligibility linked to reduction in percentage delaying or avoiding medical care due to cost

Peritoneal Dialysis Less Costly for Medicare Than Hemodialysis

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Convergence in the costs of intravenous dialysis drugs seen between peritoneal dialysis, hemodialysis

How Will New Federal Legislation Cut Drug Costs?

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Under the law, Medicare will now be allowed to negotiate the cost of some drugs; vaccines will be free for Part D recipients