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Tag: Insurance: Medicare

New Poll Finds Older Americans Believe Medicare Should Cover Weight-Loss Drugs

A 2003 law currently prohibits Medicare from covering medications specifically for weight loss

Million Hearts Model Cuts Five-Year Heart Attack, Stroke Risk in At-Risk Patients

Improved outcomes seen with no significant changes in Medicare spending

Major Drug Companies Agree to Price Negotiations With U.S. Government

Ten drugs have been chosen for price negotiations by the Centers for Medicare & Medicaid Services

Heterogeneity Found in Appropriate Use Criteria for Imaging of CAD

CMS-qualified AUC for coronary artery disease heterogeneous, sometimes conflict with respect to appropriateness

Medicare Will Cover New Class of Alzheimer Drugs if Fully Approved by FDA, With...

Drug makers will also have to gather and keep data in a registry showing how the drugs are working in the real world

Medication for Opioid Use Disorder Dispensed More After Medicare Policy Change

Methadone dispensing up after 2020 without displacing use of buprenorphine

Medicare Spending Would Increase $2.0 to $5.1 Billion With Lecanemab

$2.0 to $5.1 billion would include lecanemab and ancillary costs; estimated annual per-patient coinsurance could reach $6,636

Other Countries Rate Half of Top-Selling Drugs in Medicare as Low Added Benefit

These low added therapeutic-rating drugs accounted for $19.3 billion or one-third of Medicare annual net spending in 2020

Psychiatrist Reimbursement Lower With Medicaid Than Medicare

State-to-national Medicaid indices for psychiatrists' mental health services varied from 0.46 to 2.34 in Pennsylvania and Nebraska, respectively

Biden Administration Calls for Crackdown on Misleading Medicare Ads

New rule would ban ads that have confusing words, imagery, or logos, or that do not specifically mention a health insurance plan by name