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Insurance Coverage for Psychedelic Therapy

Bill of Health

By Vincent Joralemon As therapies using drugs like MDMA, psilocybin, and LSD advance through the FDA research and approval pipeline, patients should be prepared for steep price tags attached to these procedures. This is typical—without a seal of approval from FDA, insurers are reluctant to pay for off-label treatments. for depression).

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Medicare to broaden coverage of Alzheimer’s drugs after full FDA approval, but with some restrictions

Fierce Healthcare

The Centers for Medicare and Medicaid Services outlined plans Thursday to broadly cover a new class of Alzheimer’s drugs once the medications get full approval from the Food and Drug Administration | CMS outlined plans Thursday to broadly cover a new class of Alzheimer’s drugs once the medications get full approval from the Food and Drug Administration. (..)

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Monthly Round-Up of What to Read on Pharma Law and Policy 

Bill of Health

Associations Between Copays, Coverage Limits for Naloxone, and Prescribing in Medicaid. Dose modification rules and availability of growth factor support: A cross-sectional study of head-to-head cancer trials used for US FDA approval from 2009 to 2021. FDA validation of surrogate endpoints in oncology: 2005-2022. Subst Abuse.

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POGO Automatic Blood Glucose Monitor Now Covered by Medicare Part B

HIT Consultant

– The Centers for Medicare and Medicaid Services (CMS) created two new coverage codes specifically for POGO Automatic, recognizing this new and significantly different technology compared to traditional blood glucose meters (BGMs). What You Should Know: – Intuity Medical, Inc., million seniors age 65 and up living with diabetes.

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Bonus Features – January 14, 2024 – Epic Research shows telehealth results in more follow-up visits that in-office care, Elevance Health to offer smartphones to qualified Medicaid beneficiaries, plus 21 more stories

Healthcare IT Today

Product and Company News from CES 2024 Elevance Health will make smartphones eligible to qualified Medicaid members at no cost through a partnership with Samsung and service providers AT&T, T-Mobile, and Verizon. Infant monitoring company Owlet launched two FDA-cleared devices : Dream Sock and BabySat.

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Bonus Features – February 26, 2023 – Accenture says more adequate Medicaid networks could save $912 million annually, InterSystems named data partner of NCQA, and more

Healthcare IT Today

million at-risk patients access preventative services – and stronger standards for Medicaid network adequacy – which could give nearly 300,000 additional Black children access to specialty hospitals and drive $912 million annual Medicaid savings due to reduced avoidable admissions.

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Monthly Round-Up of What to Read on Pharma Law and Policy

Bill of Health

Fulfillment of Postmarket Commitments and Requirements for New Drugs Approved by the FDA, 2013-2016. Limitations on the Capability of the FDA to Advise. Medicaid Spending on Antiretrovirals from 2007-2019. A full posting of abstracts/summaries of these articles may be found on our? JAMA Intern Med. 2022 Oct 3:e224226.

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