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Part D proposal includes prior authorization, step therapy
Plans would be allowed to implement prior authorization and step therapy for protected-class drugs “including to determine use for a protected...
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FDA aims to squash youth vaping, smoking
The proposals are a part of a continued effort to reverse recent growth in teen vaping.
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ACP beefs up firearms policy
Restrictions on semiautomatic weapons, better background checks added to 2014 policy.
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Trump scheme for Part B drugs raises red flags
Doctors raise concerns that past mistakes will recur or access issues will increase.
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With site-neutral payments, the devil is in the details
Physician groups are pushing back against a proposal to implement site-neutral payments, despite the fact that they generally support the concept...
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Study: Problems persist with APMs
Concerns reported in 2014 persisted into 2018 and were joined by new concerns over the pace of change and complexity as well as issues with two-...
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With site-neutral payments, the devil is in the details
The current proposed rule is “complex, confusing, and is not truly site neutral because the policies do not apply equally to all hospital...
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Get your MACRA updates here at ACR 2018
You’ll also hear about the ACR’s physician-focused APM for rheumatoid arthritis and ways to give feedback to CMS.
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MedPAC eyes ‘incident to’ billing
Quality and access to care issues were raised by MedPAC officials and physician groups.
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Feds say ACA’s silver plan premiums will drop in 2019
But market corrections, not federal government action, may be driving the declines.
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Employer health insurance: Deductibles rising faster than wages
Two trends combine for an effective 212% increase in worker deductibles over the past decade.
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ACOG lends support to bill promoting maternal mortality review committees
Maternal mortality rates in the United States have more than doubled in the last three decades, according to the CDC.
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Red flag raised on CMS indication-based formulary policy
Physician groups are expressing concerns regarding a new policy that will allow indication-based formulary design in the Medicare Part D...
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House, Senate agree on broad opioid legislation
Huge bill to address the opioid epidemic contains many provisions that will affect physicians.
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Proposal to change Part B drug WAC-based reimbursement draws criticism
The ACR, ASCO, AMA, and others argued against the proposal in comments to CMS.