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Feds aim to streamline gene therapy oversight
“It seems reasonable to envision a day when gene therapy will be a mainstay of treatment for many diseases,” Dr. Collins and Dr. Gottlieb wrote....
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Having prescription drug coverage is associated with improved myeloma outcomes
The results of this study suggest any coverage is better than no coverage.
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Docs push back on step therapy in Medicare Advantage
The action is part of the broader Trump administration initiative to lower the prices and out-of-pocket costs of prescription drugs.
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CMS pushes ACOs to take on more risk
ACOs that only take on upside risk generally are spending more money and not generating savings, according to CMS Adminstrator Seema Verma.
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Doctors decry inaction on physician-focused APMs
So far, PTAC has sent at least 10 APMs to the CMS. To date, not a single one has been approved or even tested on a limited scale.
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FDA proposes broader outcomes for OUD treatment drug approvals
Draft guidance supports various clinical endpoints, including changes in drug use patterns other than the endpoint of abstinence.
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CMS proposal to level E/M payments raises concerns
Dermatologists and oncologists lose under the proposal, while ob.gyns. could see their payments increased.
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CMS targets Part B drug policy in 2019 regulatory updates
The proposal would cut add-on payments for new drugs.
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CMS to resume risk adjustment payments for 2017
The program uses statewide average premiums to draw money from health insurance plans with few high-need patients and funnels it to those with...
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CMS proposes site-neutral payments for hospital outpatient setting
Site-neutral payments could save the government – and patients – money on every visit.
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Sweeping reductions to documentation included in Medicare fee schedule proposal
E&M changes alone could save you 51 hours a year, CMS officials estimate.
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What might Kavanaugh confirmation mean for ACA, abortion access?
Judge Brett M. Kavanaugh was nominated to the Supreme Court by President Trump on July 9.
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CMS holds ACA risk adjustment payments following legal ruling
The CMS filed a motion to reconsider following the New Mexico verdict, a hearing of which was held June 21.
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GOP Doctors Caucus seeks lower MIPS threshold
Lawmakers say too many physicians are excluded from the program under the current rules.
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Resident debt burden may cloud professional future
Residents’ actual debt may be considerably higher than has been reported.