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Industry Likes Medicare Home Care Expansion, But Cost Is Unknown
Patient advocacy and industry groups are cheering Medicare’s move to start paying nursing home, home care and physical therapy bills for some patients who were previously denied coverage. But how much extra it will cost the government is far from clear.
The change “is expected to affect the lives of tens of thousands of Americans, perhaps hundreds of thousands” with chronic conditions, Gill Deford, a lawyer with the Center for Medicare Advocacy, told reporters on a conference call. “Far too many American families have had to pay for vital services out of pocket” or forgo care they couldn’t afford, he said.
Read the full story: http://bit.ly/XedVkB
source: Kaiser Health News
Neurologists Share Tips for Securing Patient Access to Gene Therapies
March 19th 2025Tenacious efforts at every level, from the individual clinician to the hospital to the state to Congress, will be needed to make sure patients can access life-saving gene therapies for neuromuscular diseases.
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Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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How Access to SMA Treatment Varies Globally and by Insurance Type
March 18th 2025Posters presented at the 2025 Muscular Dystrophy Association (MDA) Clinical & Scientific Conference show that therapeutic advances in treating spinal muscular atrophy (SMA) are not uniformly making it into the hands of patients who could benefit.
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More Care Doesn't Equal Happier Patients in Traditional Medicare
March 17th 2025Data on care satisfaction, ease managing care, and out-of-pocket spending were the outcomes of interest for this new analysis that investigated the relationship between healthcare utilization and beneficiary experience within traditional Medicare.
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The Impact of Cost Sharing on High-Value Care
March 14th 2025Michael Chernew, PhD, professor of health care policy and director of the Healthcare Markets and Regulation Lab, Harvard Medical School, shares how cost-sharing policies shape access to critical health care services and influence value-based insurance design.
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