CMS pitches expanded coverage of PET scans for Alzheimer’s disease
(By Rylee Wilson for Becker’s Hospital Review) CMS is proposing broader coverage of PET scans for patients with Alzheimer’s disease,
Read More
CMS
3 ways to reduce Medicare Advantage overpayments
(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage overpayments may be higher than the the Medicare Payment and Advisory
Read MoreWill the new Alzheimer’s drug put pressure on Medicare premiums?
The FDA approved the drug Leqembi, and Medicare will cover the new expensive new drug that promises the slowing the
Read More10 Prescription Drugs Accounted for $48 Billion in Medicare Part D Spending in 2021, or More Than One-Fifth of Part D Spending That Year
(By Chris Lee for The Kaiser Family Foundation published July 12, 2023) A new KFF analysis finds that the 10
Read MoreACA risk adjustment payments are on the rise: CMS
(By Rylee Wilson for Becker’s Hospital Review) Total risk adjustment payments in individual and small group insurance plans increased in
Read MoreLeqembi could cost Medicare up to $17.8B
(By Rylee Wilson for Becker’s Hospital Review) Leqembi, the newly-approved drug that can slow the progression of Alzhemier’s disease, will
Read MoreStatement: Broader Medicare Coverage of Leqembi Available Following FDA Traditional Approval
(Source – www.cms.gov/newsroom) Broader Medicare coverage is now available for Biogen and Eisai’s Leqembi (the brand name for lecanemab) following
Read MoreMedicare Advantage star ratings are failing to improve plan quality: Study
(By Jakob Emerson for Becker’s Hospital Review) The Medicare Advantage star rating system and its quality bonus payment program is
Read MoreCMS Releases Revised Guidance for Historic Medicare Drug Price Negotiation Program
(Source – www.cms.gov/newsroom) For the first time in history, Medicare has the ability to directly negotiate the prices of covered
Read MoreThe 2-midnight rule and Medicare Advantage: 6 things to know
(By Jakob Emerson for Becker’s Hospital Review) There are major changes afoot for Medicare Advantage plans and when they are
Read More