Why doesn ’t Medicare cover drugs like Ozempic for weight loss?
Medicare Part D, which provides prescription drug coverage, will now cover the weight-loss medication Wegovy in cases where the patient is at risk of a heart attack or a stroke. Wegovy belongs to a group of drugs known as GLP-1s — which include Ozempic and Mounjaro — that were developed for those…#medicare #wegovy #glp1s #zepbound #johncawley #cornelluniversity #medicaid #jamesbailey #providencecollege #jeahjung (Source: Reuters: Health)
Source: Reuters: Health - April 15, 2024 Category: Consumer Health News Source Type: news
' Miracle' weight-loss drugs could have reduced health disparities. Instead they got worse
Wegovy is part of a new generation of weight-loss medications that made some doctors optimistic about reversing longstanding racial and ethnic disparities in obesity. So far, the pricey drugs seem to have made those disparities worse. Science magazine anointed them the “2023 Breakthrough of the…#science #mounjaro #laureneberly #wegovy #fda #medicare #medicaid #rociopereira #denverhealth #blackamericans (Source: Reuters: Health)
Source: Reuters: Health - April 15, 2024 Category: Consumer Health News Source Type: news
CMS: Medicare Program; Application by the Accreditation Commission for Health Care (ACHC) for Continued CMS Approval of Its Home Infusion Therapy (HIT) Accreditation Program
Announcement from the Centers for Medicare& Medicaid Services (CMS) of the approval of the Accreditation Commission for Health Care (ACHC) as a national accrediting organization providing home infusion therapy services that wish to participate in the Medicare or Medicaid programs. The approval is effective April 23, 2024, through April 23, 2030. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 15, 2024 Category: Rural Health Source Type: news
HHS, Treasury: Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2025; Updating Section 1332 Waiver Public Notice Procedures; Medicaid; Consumer Operated and Oriented Plan Program; and Basic Health Program
Notice of final rule from the U.S. Department of Health and Human Services (HHS) setting parameters for risk adjustment and user fees for state and federal-based exchanges for 2025. This rule also addresses requirements related to the auto re-enrollment hierarchy, essential health benefits, the Insurance Affordability Program enrollment eligibility verification process, network adequacy, prescription drug benefits, and more. These regulations are effective June 4, 2024. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 15, 2024 Category: Rural Health Source Type: news
New York removes 1.4 million people from health care plan
Millions of New Yorkers have been removed from their Medicaid coverage after the federal government ended its continuous coverage policy during the pandemic. According to a Kaiser Family Foundation report, 1.4 million New Yorkers were taken off Medicaid coverage as the government required…#newyorkers #medicaid #kff #florida #louisenorris #healthinsuranceorg #basichealthprogram #norris #chrisfong #smileinsurance (Source: Reuters: Health)
Source: Reuters: Health - April 14, 2024 Category: Consumer Health News Source Type: news
CMS Officials Pressed on Catheter Fraud Issue at Accountable Care Meeting
(MedPage Today) -- The Centers for Medicare & Medicaid Services (CMS) officials speaking on a panel at an annual gathering of accountable care organizations (ACOs) in Baltimore were prepared to discuss their efforts to increase participation... (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - April 12, 2024 Category: American Health Source Type: news
A Fourth of People Dropped From Medicaid Still Aren't Insured
(MedPage Today) -- Almost a quarter of people who were dropped from Medicaid during the post-pandemic eligibility reviews are still uninsured, and high costs are preventing them from getting on another plan, a new KFF survey showed Friday.
At... (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - April 12, 2024 Category: American Health Source Type: news
The Adderall shortage highlights a key issue for voters in 2024. Here's what the Biden Administration is doing about it
For almost two years, drug shortages have made it difficult for people to fill their Adderall prescription. Bloomberg / Getty Images Adderall supply issues, which began in October 2022, are making the medication more expensive. The Biden Administration said it's focused on strengthening…#bloomberggettyimages #kff #fda #dea #defenseproductionact #medicare #medicaid #usatoday #truveta #davidgoodman (Source: Reuters: Health)
Source: Reuters: Health - April 12, 2024 Category: Consumer Health News Source Type: news
One-fourth of people dropped from Medicaid still aren't insured, survey shows
A new survey shows that almost a quarter of people who have been dropped from Medicaid during post-pandemic eligibility reviews are still uninsured (Source: ABC News: Health)
Source: ABC News: Health - April 12, 2024 Category: Consumer Health News Tags: Health Source Type: news
Almost 1 in 4 People Disenrolled From Medicaid Are Now Uninsured
FRIDAY, April 12, 2024 -- Nearly a quarter of Americans who lost their pandemic-era Medicaid coverage say they ' re now without any health insurance, a new survey finds.
More than half (54%) of these currently uninsured adults cited cost as the... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - April 12, 2024 Category: General Medicine Source Type: news
CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services is seeking comments on the following information collections: 1) Transitional Coverage and Retroactive Medicare Part D Coverage for Certain Low-Income Beneficiaries through the Limited Income Newly Eligible Transition (LI NET) Program; and 2) Appointment of Representative and Supporting Regulations in 42 CFR 405.910, which says that an individual or entity may appoint a representative to act of their behalf when exercising their rights for claim determinations and appeals. Comments are due June 11, 2024. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 12, 2024 Category: Rural Health Source Type: news
Why big Medicare Advantage insurers may root for Biden to lose in 2024
Insurance giants have a bigger stake in this year’s presidential election after recent moves by the Biden administration cut into the profitability of Medicare Advantage plans. In the last week, the Centers for Medicare and Medicaid Services (CMS) delivered consecutive blows to the industry that…#medicareadvantage #centersformedicare #medicaidservices #cms #medicare #leerinkpartners #yahoofinance #mayo #humana #unitedhealthcareunh (Source: Reuters: Health)
Source: Reuters: Health - April 12, 2024 Category: Consumer Health News Source Type: news
State Medicaid Coverage for Tobacco Cessation Treatments and Barriers to Accessing Treatments - United States, 2018-2022
This report describes state Medicaid coverage of tobacco cessation treatments. (Source: CDC Morbidity and Mortality Weekly Report)
Source: CDC Morbidity and Mortality Weekly Report - April 11, 2024 Category: American Health Tags: Medicaid MMWR Morbidity & Mortality Weekly Report Smoking Tobacco Use Smoking Cessation Treatment Source Type: news
DOD: Modification To Childbirth Support Services Covered Under the TRICARE Childbirth and Breastfeeding Support Demonstration
Notice from the Department of Defense (DOD) Director of the Defense Health Agency (DHA) announcing adjustments to the reimbursement and provider qualifications for childbirth support services under the Childbirth and Breastfeeding Support Demonstration (CBSD). The second phase of CBSD will include a new reimbursement methodology, new doula-specific codes, increased flexibility for antepartum and postpartum visits, and a new requirement for certified labor doulas (CLDs) to be participating providers. DHA also announces the National Black Doula Association (NBDA) as a certification body for CLDs and the certification require...
Source: Federal Register updates via the Rural Assistance Center - April 11, 2024 Category: Rural Health Source Type: news
Public Inspection: CMS: Medicare and Medicaid Programs and the Children's Health Insurance Program: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System, etc.
Pre-publication notice of proposed rule from the Centers for Medicare& Medicaid Services (CMS) regarding changes to the hospital inpatient prospective payment system (IPPS) for operating and capital-related costs of acute care hospitals for fiscal year 2025. Contains details of proposed changes impacting Medicare graduate medical education (GME) for teaching hospitals and payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals, among other things. Comments are due by June 10, 2024. (Source: Federal Register updates ...
Source: Federal Register updates via the Rural Assistance Center - April 11, 2024 Category: Rural Health Source Type: news
