On Nov. 26, CMS proposed reforms to the Medicare Advantage and Part D programs for contract year 2026, including changes to prior authorization and GLP-1 coverage. Here are 10 things ASC leaders and ...

NEW YORK – Natera announced on Wednesday that its Prospera Lung test has received coverage from the US Centers for Medicare and Medicaid Services for single lung transplant patients in the ...

HHS and CMS have finalized a new, mandatory model for kidney transplant coordination across 103 hospitals. The model aims to increase access, address disparities and improve care coordination for ...

Millions of Americans would be eligible to have popular drugs used for weight loss like Wegovy or Ozempic covered by Medicare ...

It’s unclear what impact a change in presidential administration will have on the proposal to widen access for those with obesity.

Medicare beneficiaries are facing wide price discrepancies for prescription drugs, with the same medication costing vastly different amounts, depending on the plan and location, The Wall Street ...

More than seven million additional Americans could get coverage for popular drugs such as Zepbound and Wegovy under the ...

The Biden administration on Tuesday proposed requiring Medicare and Medicaid to cover anti-obesity drugs. Why it matters: The ...

The bipartisan proposal goes further than the Transitional Coverage for Emerging Technologies (TCET) pathway that CMS is ...

Ardelyx’s Xphozah sales rise, but CMS ruling creates uncertainty. See why ARDX stock faces risks amid rising competition and ...

UPMC for Life offers HMO, PPO, PFFS, and SNP Medicare Advantage plans to residents of certain Pennsylvania and Ohio counties. UPMC for Life is a Medicare Advantage program offered by UPMC Health ...

The standard monthly Part B premium will be $185 in 2025, up from $174.70 this year, the Centers for Medicare and Medicaid Services said this month. The annual deductible will also jump $17 ...