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Medicare Part B

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January 21, 2021
1 min read
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Top in hem/onc: Cancer mortality, Medicare Part B drug reimbursement

A new report from the American Cancer Society showed that cancer mortality rates continue to decline at record pace in the United States. It was the top story in hematology/oncology last week.

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January 15, 2021
8 min read
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Most-favored nation model for Medicare Part B drug reimbursement ‘designed to fail’

A new Trump administration policy aimed at lowering drug prices for Medicare beneficiaries has drawn criticism from the medical community, especially those in the oncology field.

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December 09, 2020
5 min read
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ACR warns CMS against 'most-favored nation' pricing model for Medicare Part B drugs

The American College of Rheumatology has urged CMS to reconsider its recent interim final rule that would establish a “most-favored nation” payment model for Medicare Part B drugs, arguing it would disrupt patient access to rheumatic care.

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August 04, 2020
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CMS updates reimbursement calculation for bone graft substitute payment based on setting

CMS published an update to the reimbursement calculation used to determine transitional pass-through payment for the category of bone substitute products that includes Wright Medical Group’s Augment Regenerative Solutions products.

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January 30, 2020
2 min read
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Speaker: Compensation should be based on value, not volume

Medicare fee-for-service payment cuts are hampering volume-based compensation for physicians, but the effects can be softened if a shift is made to value-based compensation, a speaker said at the International Symposium on Endovascular Therapy.

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January 29, 2020
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Real-world studies show no mortality signal related to paclitaxel-coated devices

Unlike with meta-analyses of randomized controlled trials, seven real-world studies of patients with peripheral artery disease have shown no long-term mortality signal related to use of paclitaxel-coated devices, a speaker said at the International Symposium on Endovascular Therapy.

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January 14, 2020
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Few Medicare beneficiaries eligible for cardiac rehabilitation participate

Only one-fourth of Medicare beneficiaries eligible for cardiac rehabilitation after a qualifying CV event underwent it, according to research published in Circulation.

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January 10, 2020
3 min read
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2020 opens with new drug price hikes, little hope for legislation

Despite pressure from the Trump administration and Congress to curb rising drug costs, pharmaceutical companies — in what has become a common industry practice — have begun January 2020 by instituting a bevy of price increases.

News
December 03, 2019
2 min read
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J-code activations simplify billing reimbursements for practices

Several CMS-designated permanent and product-specific J-codes recently went into effect, allowing three ophthalmology-minded pharmaceutical companies to expand reimbursement through commercial and Medicare insurance plans.

News
January 10, 2020
3 min read
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2020 opens with new drug price hikes, little hope for legislation

Despite pressure from the Trump administration and Congress to curb rising drug costs, pharmaceutical companies — in what has become a common industry practice — have begun January 2020 by instituting a bevy of price increases.

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