Becker's ASC1d
CMS' proposed changes to Medicare Advantage: 10 things to know
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 ...
360dx1d
Natera Prospera Lung Test Receives Medicare Coverage for Single Lung Transplant Patients
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 ...
Healthcare Dive1d
CMS proposes new guardrails on Medicare Advantage prior authorizations, marketing
The Biden administration is attempting to push through a slew of reforms to the controversial MA program in its final months ...
White House Proposes Big Expansion of Medicare, Medicaid Coverage of Obesity Drugs
More than seven million additional Americans could get coverage for popular drugs such as Zepbound and Wegovy under the ...
aha.org2d
CMS issues final rule for mandatory organ transplant payment model
The Centers for Medicare & Medicaid Services Nov. 26 released a final rule for the Increasing Organ Transplant Access Model.
Changes proposed to Medicare Advantage, Part D programs
The Centers for Medicare and Medicaid Services proposed changes to reduce prescription drug costs for Medicare Advantage and ...
Biden administration wants to cover weight-loss prescriptions under Medicare, Medicaid
Medicare and Medicaid would be required to cover weight loss drug prescriptions for millions of obese Americans under plans ...
Medicare Would Cover Ozempic and Wegovy Under Biden Proposal—Here's What That Means
Key Takeaways The Biden administration proposed a new policy Tuesday that would allow Medicare and Medicaid to cover ...
Healthline14d
Medicare Part A vs. Medicare Part B: What’s the Difference?
The Centers for Medicare & Medicaid Services provides two aspects of healthcare coverage: Medicare Part A and Medicare Part B. Part A provides hospital coverage, while Part B covers doctor’s ...
Healthline14d
What Does Medicare Cover If You Have Dementia?
Medicare Special Needs Plans and Medigap may work with Medicaid to help as well. The term “dementia” refers to a state in which thinking, memory, and decision making have become impaired ...
Ardelyx's Medicare Setback Casts Doubt On Long-Term Viability
Ardelyx’s Xphozah sales rise, but CMS ruling creates uncertainty. See why ARDX stock faces risks amid rising competition and ...
MarketWatch17d
What are the Medicare premiums and costs in 2025?
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 ...