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CMS releases national coverage policy for CAR T-cell therapies

August 8, 2019


CMS on Wednesday announced that Medicare will cover FDA-approved CAR T-cell therapies nationwide at health care facilities that meet certain requirements, but the agency did not change Medicare's payment rates for the treatments.

Naloxone prescriptions are booming—but still lag far behind opioid prescriptions, CDC finds

August 8, 2019


The number of U.S. pharmacies dispensing prescriptions for the opioid reversal drug naloxone doubled from 2017 to 2018, but there still is only one naloxone prescription dispensed for every 69 high-dose opioid prescriptions, according to a CDC report released Tuesday.

FDA says drugmaker submitted manipulated data for approval of $2.1M gene therapy

August 8, 2019


FDA on Tuesday said some data submitted to the agency during its approval process for Zolgensma, a gene therapy drug priced at $2.1 million, were manipulated, but the agency stressed the remaining data suggest the product should remain on the market.

Surescripts, claiming fraud, is calling the FBI into its battle with Amazon's PillPack

August 8, 2019


A dispute between Amazon's PillPack and Surescripts, the largest medical data and e-prescription company in the United States, escalated last week as Surescripts cut off PillPack's data vendor from accessing its patient prescription information, arguing the company gained the information "fraudulently."

What's inside CMS' 2,273-page IPPS final rule?

August 5, 2019


CMS on Friday issued its Inpatient Prospective Payment System final rule for fiscal year 2020, which aims to address payment disparities for rural and urban health facilities and increase add-on payments for emerging technologies and therapies.

CMS finalizes 2020 payment rules for SNFs, hospices, inpatient rehab, psych facilities

August 5, 2019


CMS last week released rules finalizing Medicare payment adjustments for skilled nursing facilities, hospices, and inpatient rehabilitation and psychiatric facilities for fiscal year 2020.

CMS proposes 1.7% bump to Medicare payments for dialysis providers

August 5, 2019


CMS last week released a proposed rule that would update Medicare policies and payments for the End-Stage Renal Disease program and aims to promote the adoption of new equipment and supplies among dialysis facilities.

Pfizer, Mylan reach deal to merge off-patent drug businesses into new company

August 2, 2019


Pfizer has agreed to separate and merge its off-patent drug business with Mylan in a deal that would form a new company responsible for the sales of common drugs such as EpiPen and Lipitor.

In the states: Arizona brings opioid case to US Supreme Court, California reaches largest 'pay-for-delay' settlements, and more

August 2, 2019


American Health Line rounds up the latest health care news in the states.

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