Eli Lilly expects Medicare about-face on Alzheimer’s drugs coverage
By
Alicia Lasek
Apr 23, 2023
New data on Lilly’s experimental drug donanemab may influence CMS’s restrictive stance on coverage of this and other amyloid-busting Alzheimer’s treatments, a company executive says.
Lawmakers call for revisit of Medicare’s diagnostic brain scan coverage for dementia
By
Alicia Lasek
Dec 13, 2022
U.S. senators want to lift highly restrictive coverage of PET scans for dementia diagnoses. This would encourage more clinicians to use these tools while expanding patient access, they say.
Brooks-LaSure: Medicare poised to re-evaluate coverage of new Alzheimer’s drugs
By
Alicia Lasek
Dec 12, 2022
In a Milken Institute summit session, the CMS administrator said that Medicare’s door is open to evaluating new data on emerging Alzheimer’s drug candidates.
Providers warned not to interfere with resident healthcare coverage choices after $8 million settlement
By
Danielle Brown
Jul 13, 2022
The nation’s largest nursing home association is urging providers to properly educate staff on acceptable practices when it comes to discussing changes to residents’ healthcare coverage in order to...
CMS restricts coverage of Alzheimer’s drug Aduhelm to clinical trials
By
Alicia Lasek
Apr 08, 2022
Coverage of aducanumab (Aduhelm) is officially limited to clinical trials only, the agency announced Thursday. Most stakeholders have called for restricted use while more efficacy and safety data is gathered,...
Tonko, LaHood urge HHS to expand access to Aduhelm, similar Alzheimer’s drugs
By
Alicia Lasek
Feb 08, 2022
The Medicare coverage proposal for these drugs is too restrictive, limiting potential benefits to a select few, the two congressmen argue in a letter sent Monday to HHS Secretary Xavier Becerra.
Becerra orders CMS to rethink $22 Medicare Part B premium price hike tied to Aduhelm
By
Alicia Lasek
Jan 11, 2022
With the 50% price drop of Aduhelm on January 1, there is good reason for CMS to reassess a hefty proposed premium hike for 2022, the U.S. health secretary said. On Wednesday, CMS is expected to announce...
Panel on non-invasive ventilation seeks to simplify ‘maze’ of regulation for device coverage
By
Alicia Lasek
Aug 20, 2021
Recommendations aimed at expediting CMS coverage determinations for non-invasive ventilation devices could help ensure that LTCF residents and others get quick access to lifesaving treatments.
Clinical briefs for Thursday, Aug. 12
By
Alicia Lasek
Aug 12, 2021
Dental, hearing, vision coverage on ‘front burner’ as lawmakers eye Medicare expansion … CDC: Pregnant women should get vaccinated; SARS-CoV-2 infection linked to preterm births … European drug...
Clinical briefs for Tuesday, July 27
By
Alicia Lasek
Jul 27, 2021
Feds publish long-COVID disability coverage guidelines … Genesis’ targeted COVID-19 vaccine efforts increased uptake among Black, Hispanic employees … Israel may recommend Pfizer’s COVID-19 booster...