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July 17, 2023
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ACR ’gravely concerned‘ over proposed Medicare Physician Fee Schedule rule changes

ACR ’gravely concerned‘ over proposed Medicare Physician Fee Schedule rule changes

The American College of Rheumatology is “gravely concerned” about proposed rule changes to the CMS Medicare Physician Fee Schedule and Quality Payment Program, the organization said in a statement.

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July 07, 2023
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Mark Cuban company could yield savings on seven Medicare generic oncology drugs

Mark Cuban company could yield savings on seven Medicare generic oncology drugs

Mark Cuban Cost Plus Drug Company’s pricing could yield significant savings for seven generic oncology drugs vs. Medicare Part D median formulary prices, according to study results published in Journal of Clinical Oncology.

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June 19, 2023
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Medicare enrollees with kidney disease have ‘disproportionately higher’ medical costs

Medicare enrollees with kidney disease have ‘disproportionately higher’ medical costs

Medicare Advantage enrollees with mildly reduced kidney function and accelerated eGFR decline have disproportionately higher medical costs than other patients, data show.

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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.

News
June 15, 2023
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Study finds racial, gender disparities in access to outpatient TKR for Medicare patients

Study finds racial, gender disparities in access to outpatient TKR for Medicare patients

Results showed older, Black and female patients have been less likely to undergo outpatient total knee replacement after the removal of TKR from the Medicare inpatient-only list in 2018.

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June 14, 2023
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AAN submits formal coverage reconsideration request to CMS for Alzheimer’s treatment

AAN submits formal coverage reconsideration request to CMS for Alzheimer’s treatment

The American Academy of Neurology has submitted a formal national coverage determination reconsideration request to CMS regarding current coverage of amyloid-targeting monoclonal antibodies for Alzheimer’s disease, including Leqembi.

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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 07, 2023
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Legislators introduce bill to increase Medicare payments for vascular access procedures

Legislators introduce bill to increase Medicare payments for vascular access procedures

Legislators have introduced a bill to restore cuts in Medicare funding for office-based procedures, including for vascular access.

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June 02, 2023
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CMS announces plan for Medicare coverage of approved Alzheimer's drugs

CMS announces plan for Medicare coverage of approved Alzheimer's drugs

Medicare will cover drugs that may slow the progression of Alzheimer’s disease if granted traditional approval from the FDA, according to a press release from CMS.

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