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Tag: cms

Letter Submitted: Draft NCD for Monoclonal Antibodies Directed Against Amyloid for the treatment of  Alzheimer’s Disease

Letter Submitted: Draft NCD for Monoclonal Antibodies Directed Against Amyloid for the treatment of Alzheimer’s Disease

Feb 7, 2022 | Letters Submitted

We have serious concerns about CMS’s draft national coverage determination (NCD) – issued  January 11, 2022 – to limit Medicare coverage for monoclonal antibodies directed against  amyloid for the treatment of Alzheimer’s Disease (AD) to patients enrolled in...
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Trump administration proposes insurance loophole to hike patient out-of-pocket costs in 2021

Trump administration proposes insurance loophole to hike patient out-of-pocket costs in 2021

Feb 22, 2020 | Copay Accumulators, Copay Assistance, Drug Costs, Federal Issues, News

Patients struggling with the high cost of health insurance can expect even higher out-of-pocket costs in 2021, under an insurance regulation proposed by the Centers for Medicare & Medicaid Services. Last month, the obscure federal agency under the Department of...
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New CMS co-pay rule will increase out-of-pocket costs in 2020

New CMS co-pay rule will increase out-of-pocket costs in 2020

Sep 9, 2019 | Copay Accumulators, Drug Costs, News, Out of Pocket Costs

Get ready for higher out-of-pocket costs in 2020. Last week, the Trump administration’s Centers for Medicare & Medicaid Services quietly announced new co-pay rules that will allow insurance companies to increase patients’ out-of-pocket costs in 2020....
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21st Century Cures Act 340B Access to Care Advocacy Alzheimer's Biden Administration biosimilars Cancer cms Copay Accumulators copay assistance COVID-19 Vaccine drug costs Drug Manufacturing Drug Pricing drug rebate fail first FDA H.R.3 Healthcare Inequities Health Insurance hospital bills HR 3708 hsa ICER Insurance design Joe Biden Lupus medicare Part B medicare part D Mental Health Nonmedical Switching open enrollment Out of Pocket Costs PBM pharmacy benefit managers Price Transparency Prior Authorization QALY Rare Disease Right to Repair Step Therapy Telehealth transparency Value Framework

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