Fierce Healthcare12h
Trump's CMS signals flexibility on Medicare drug price negotiation, sparking new questions for RFK Jr.
The Trump administration’s Centers for Medicare & Medicaid Services (CMS) has signaled that it will be revamping the process ...
Medicare Change Backed by 20,000 People in New Letters
New letters urge the Centers for Medicare & Medicaid Services to expand Medicare and Medicaid to include FDA-approved ...
Fact Check: Insulin cap for Medicare unaffected by Trump order on prescription drug costs
A provision about insulin in the Inflation Reduction Act is conflated with a 2022 executive order by former President Joe ...
McKnight's Long-Term Care News2d
CMS goes after nursing homes’ third-party pay policies with updated guidance
An expanding prohibition on third-party financial guarantees could lead to more nursing home using lawsuits to collect unpaid ...
JD Supra1d
Medicare’s 60-Day Rule
The Centers for Medicare & Medicaid Services (CMS) finalized significant updates to the Medicare 60-Day Rule, which governs ...
Healio1d
‘We applaud CMS’: Two more rheumatology drugs bound for Medicare price negotiation
The second round of Medicare Part D price negotiations will feature two drugs familiar to rheumatologists — Ofev and Otezla — ...
CMS to seek Medicare negotiations on Ozempic price
The Centers for Medicare and Medicaid Services (CMS) has included Ozempic among the next 15 drugs chosen for Medicare ...
Modern Healthcare6d
CMS drops appeal in UnitedHealth Medicare Advantage ratings case
CMS issued the industry-wide ratings the next month. Among large insurers, UnitedHealthcare experienced one of the most ...
JD Supra1d
Two Major Updates to Pennsylvania Medicare Set-Aside Rules
The Centers for Medicare & Medicaid Services (CMS) recently announced two significant updates to Workers’ Compensation ...
McKnight's Long-Term Care News2h
MA plans’ use of prior authorizations climbs again, despite heightened pressure to limit tactic
MA plans required prior authorizations about 125 times more often than regular Medicare in 2023, demonstrating the barriers patients face in accessing care.