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Lawmakers Nearing SGR Deal
Although a deal is not yet final, aides say the general framework is likely to include a 10-month straight extension of the current Medicare payment rate to physicians. The agreement is also likely to extend certain Medicare programs, but on the condition that there be greater reporting and accountability of those programs from the CMS, the Medicare Payment Advisory Commission and the Government Accountability Office.
Source: Modern Healthcare
Federal lawmakers on Tuesday evening inched closer to an agreement on a short-term solution to Medicare's sustainable growth-rate formula for physicians. If Congress does not act by Feb. 29, doctors who participate in the federal healthcare program will face a 27.4% cut in their Medicare reimbursement.
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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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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