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Elevance, UnitedHealth among insurers accused of alleged price fixing
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Express Scripts, Caremark, OptumRx sue FTC
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Reproductive care, including abortion, facing challenges
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Telehealth prescribing of controlled drugs extended
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Cardinal Health set to acquire two companies for combined $3.9B
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Top Stories
Elevance, UnitedHealth among insurers accused of alleged price fixing
J&J sues HRSA for blocking 340B plan
Telehealth prescribing of controlled drugs extended
Medicare Administrative Contractors (MACs)
Mar 11 | Susan Morse
HHS sends letter to healthcare leaders on Change cyberattack
AHA says it welcomes the letter urging UHG to step up payments to hospitals, physicians and other providers.
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Mar 06 | Susan Morse
HHS response to cash flow concerns from Change cyberattack inadequate, providers say
UnitedHealth Group says the pharmacy network could be back online as soon as today.
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READ
Jan 25 | Jeff Lagasse
HHS promoting access to contraceptive care
A new FAQ details how plans can ensure compliance with the requirement to cover contraception without cost-sharing.
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Nov 06, 2023 | Jeff Lagasse
Democrats press CMS on AI-based claims denials in Medicare Advantage
Lawmakers are concerned that CMS' 2024 final Part C and D rule may not adequately address MA plans' increased…
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Oct 26, 2022 | Jeff Lagasse
CMS relief payments in compliance during COVID-19, OIG finds
CMS appropriately made CAAP Program payments to all 100 providers that were randomly selected in the OIG's audit.
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Feb 11, 2022 | Jeff Lagasse
AHIP lauds CMS decision on Alzheimer's drug Aduhelm
AHIP agreed that more clinical-trial-based evidence is needed on Aduhelm's benefits and the potential risks to patients.
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Jan 26, 2022 | Jeff Lagasse
American Geriatrics Society expresses misgivings about FDA-approved Alzheimer's drug
AGS believes it's premature for CMS to issue a coverage determination for other antibodies in the…
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Jan 11, 2022 | Susan Morse
CMS proposes limiting Medicare coverage for the treatment of Alzheimer's to clinical trials
Currently, Aduhelm, made by Biogen, is the only monoclonal antibody approved by the FDA for the…
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Jul 13, 2021 | Jeff Lagasse
CMS opens national coverage determination analysis on Alzheimer's treatment
The analysis will target aducanumab, recently approved by the FDA, as well as any future monoclonal antibodies…
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Apr 14, 2021 | Susan Morse
House extends moratorium on 2% Medicare sequester cuts through 2021
President Biden is expected to sign the bill into law.
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