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June 19, 2023
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VIDEO: MedPAC recommendations would balance Medicare budget ‘on the backs of physicians’

VIDEO: MedPAC recommendations would balance Medicare budget ‘on the backs of physicians’

Recent recommendations from MedPAC regarding Medicare Part B physician reimbursements will “do nothing to address the root cause” of high drug prices, according to Madelaine A. Feldman, MD, FACR.

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June 15, 2023
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ACR ‘concerned’ over recommended cuts to Medicare Part B infusion reimbursement

ACR ‘concerned’ over recommended cuts to Medicare Part B infusion reimbursement

The American College of Rheumatology is sounding the alarm over a recent recommendation from the Medicare Payment Advisory Commission — or MedPAC — that it says would cut physician reimbursements for infused therapies.

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June 12, 2023
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HHS announces savings on 43 prescription drugs for Medicare Part B beneficiaries

HHS announces savings on 43 prescription drugs for Medicare Part B beneficiaries

HHS has released a list of 43 prescription drugs for which Part B beneficiary coinsurances may be lower starting July 1.

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June 05, 2023
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Federal Trade Commission sues to block Amgen’s acquisition of Horizon

Federal Trade Commission sues to block Amgen’s acquisition of Horizon

The Federal Trade Commission has sued to stop Amgen from acquiring Horizon Therapeutics, a potential blockbuster deal that could restrict marketplace competition, according to an FTC press release.

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March 01, 2023
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Eli Lilly announces $35 out-of-pocket insulin cap for people with commercial insurance

Eli Lilly announces $35 out-of-pocket insulin cap for people with commercial insurance

Adults with diabetes with commercial health insurance who use insulin manufactured by Eli Lilly and Company will have out-of-pocket costs capped at $35 per month, according to a company press release.

News
February 14, 2023
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CMS announces new Medicare Part B drug inflation rebates

CMS announces new Medicare Part B drug inflation rebates

CMS has announced its initial guidance for the new Medicare Prescription Drug Inflation Rebate Program, which it said will reduce drug costs for millions of beneficiaries.

News
February 02, 2023
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Amgen’s acquisition of Horizon could have ‘downstream effects’ in rheumatology

Amgen’s acquisition of Horizon could have ‘downstream effects’ in rheumatology

The recent acquisition of Horizon Therapeutics by Amgen continues a trend in medical finance that may have implications for both rheumatologists and their patients.

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November 17, 2022
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High copays lower odds of ‘optimal adherence’ to lupus treatment

High copays lower odds of ‘optimal adherence’ to lupus treatment

PHILADELPHIA — Among patients with lupus, those with higher copays are more likely to demonstrate poor treatment adherence, according to data presented at ACR Convergence 2022.

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October 04, 2022
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HHS: Specialty drug costs up more than $300 billion since 2016

HHS: Specialty drug costs up more than $300 billion since 2016

HHS has released two new reports that it said not only “illustrate the urgency of addressing skyrocketing prescription drug costs in America,” but also highlight the potential positive impact of the Inflation Reduction Act.

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September 30, 2022
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Use of lower-cost drugs reduces cancer care costs while maintaining quality

Use of lower-cost drugs reduces cancer care costs while maintaining quality

Lower-cost alternative drugs reduced total costs of care by approximately 5% while maintaining quality care among Medicare beneficiaries with cancer, according to study results presented at ASCO Quality Care Symposium.

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