CMS Excludes Obesity Drugs from Medicare Coverage Amid Cost Concerns
CMS excludes obesity drugs from 2026 Medicare coverage, citing cost concerns; Eli Lilly criticizes the decision impacting obesity management treatments.
FDA Updates COVID Vaccine Policy; Medicare Fraud Sentencing; Immunization Funding Growth
FDA refocuses COVID vaccine approvals on high-risk groups with new evidence requirements. Medicare fraud case results in sentencing for $3.2M scheme. Lower-income countries increase self-funded vaccine investments. Bipartisan prior authorization reform bill returns in Congress.
Ceresti Health Launches Medicare GUIDE Wait List to Support Dementia Care Nationwide
Ceresti Health opens a Medicare GUIDE wait list enabling family caregivers nationwide to access tech-enabled dementia care under CMS's new Medicare program launching July 2025. No cost to patients or caregivers.
ASTRO Supports Prior Authorization Reform in Medicare Advantage to Improve Cancer Care
ASTRO backs bipartisan legislation to reform Medicare Advantage prior authorization, aiming to reduce cancer treatment delays and improve care outcomes.
HHS and CMS Implement MFN Drug Pricing Model Following Executive Order
HHS and CMS unveil Most Favored Nation drug pricing model targeting pharmaceutical manufacturers to align U.S. drug prices with international benchmarks and reduce costs.
DOJ Alleges Kickbacks in Medicare Advantage Broker Commissions
The DOJ files a lawsuit accusing insurers and brokerages of illicit kickbacks in Medicare Advantage plan enrollments, raising compliance and regulatory concerns.
Poll Reveals Voter Support for Tax Restraint and Medicaid Reforms in Key GOP Districts
Poll in key GOP districts shows strong voter support for stopping tax increases, Medicaid reforms including work requirements, and adjusting state contributions to Medicaid funding.
UnitedHealthcare Ends Commissions on Medicare Drug Plans Amid Rising Costs
UnitedHealthcare stops paying commissions on Medicare prescription drug plans sold after June 1, 2025, impacting agents amid rising Medicare Advantage costs and prompting calls for CMS intervention.
New Bill Proposes Medicare Copay Cap for Ambulatory Surgical Centers
Bipartisan legislation aims to cap Medicare coinsurance costs for services at ambulatory surgical centers, promoting cost-effective healthcare and reducing patient expenses.
Universal Medicare in the U.S.: Feasibility, Costs, and Political Context
Analysis of the feasibility, costs, and political dynamics of implementing universal Medicare in the U.S., focusing on insurance costs, coverage expansion, and potential tax structures.