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Medicare approves genetic test for solid tumors
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Medicare approves genetic test for solid tumors

by Julia Evangelou Strait, Washington University in St. Louis Shelly O’Laughlin, (right) director of clinical operations for the Genome Technology Access Center at McDonnell Genome Institute, prepares the GatewaySeq test with Lulu Sun, MD, PhD, an assistant professor of pathology and immunology. Credit: Matt Miller/School of MedicineA genetic test that identifies cancer mutations in solid tumors...

CMS threatens to cut hospices from Medicare if they can’t prove legitimacy
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CMS threatens to cut hospices from Medicare if they can’t prove legitimacy

By Susanna Vogel | Associate Editor Hispanolistic via Getty Images Dive Brief:– The CMS continued its crackdown on hospice fraud on Tuesday, announcing nearly 400 hospice facilities may be removed from Medicare if the practices cannot prove they’re legitimate enterprises through address verification.– The agency identified the potentially fraudulent operations by making unannounced visits to...

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Medicare may save $1.8B from four drugs in first year of price negotiations, research finds

Paul Schloesser Associate Editor A new paper published this week claims that in 2026, when Medicare negotiations for drug prices kick off, the minimum discount stipulated by the Inflation Reduction Act exceeds 2020 rebates for only four of the 10 drugs to be negotiated. On Sept. 1, CMS is expected to announce those 10 drugs...

Use of generic heart meds in Medicare Part D could save more than $600 million a year
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Use of generic heart meds in Medicare Part D could save more than $600 million a year

by  American Heart Association Credit: Pixabay/CC0 Public Domain Prescribing generic medications for heart and blood vessel diseases more frequently instead of brand-name medications in Medicare’s prescription drug program, called Part D, could save more than $600 million each year in the U.S., according to new research published today in Circulation: Cardiovascular Quality and Outcomes, an American Heart...

Alzheimer’s drug cited as Medicare premium jumps by $21.60
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Alzheimer’s drug cited as Medicare premium jumps by $21.60

by Ricardo Alonso-Zaldivar  The Biogen Inc., headquarters is shown March 11, 2020, in Cambridge, Mass. Medicare’s “Part B” outpatient premium will jump by $21.60 next year, one of the largest increases ever. Medicare officials told reporters on Friday, Nov. 12, 2021, that about half the increase is attributable to contingency planning if the program has...

Jump in cancer diagnoses at 65 implies patients wait for Medicare, according to study
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Jump in cancer diagnoses at 65 implies patients wait for Medicare, according to study

by  Stanford University Medical Center Lung cancer cells. Credit: National Cancer Institute Analyzing a national cancer database, researchers find a bump in diagnoses at 65, suggesting that many wait for Medicare to kick in before they seek care. A couple of years ago, Joseph Shrager, MD, professor of cardiothoracic surgery at Stanford School of Medicine, noticed...

Does Medicare provide coverage for caregivers?
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Does Medicare provide coverage for caregivers?

Original Medicare covers certain types of caregivers. Rules apply depending on the kind of care a person receives and the services a caregiver provides. Medicare is a federal health insurance program for those aged 65 and over and those under 65 who have specific health conditions. Original Medicare consists of Part A, which covers inpatient services and Part...

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Too few medicare beneficiaries with diabetes getting eye exams

(HealthDay)—Nationwide, about half of Medicare fee-for-service beneficiaries with diabetes had eye exams in 2017, according to research published in the Nov. 15 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report. Noting that annual dilated eye exams are recommended for persons with diabetes, Elizabeth A. Lundeen, Ph.D., from the...

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