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AstraZeneca joins as the sixth pharma company, and the first non-US company, to file suit against the Biden Administration over Medicare drug pricing.
Medicare enrollees can expect to save $1.5 billion in out-of-pocket costs, HHS said. The list price of Merck's diabetes drug Januvia will be slashed to $113 for a 30-day supply from $527 as of 2023.
The negotiation program, passed as part of 2022's Inflation Reduction Act (IRA), allows the U.S. Centers for Medicare and Medicaid Service (CMS), which oversees Medicare, to negotiate prices for ...
The co-pay card benefit manager recognizes the $30.00 and covers the $20.00 of co-pay, leaving $10 for the patient to pay out of pocket. Another patient without prescription insurance coverage follows the same process. The co-pay card takes the primary insurer position where it recognizes the claim as that of a cash-paying patient and applies ...
S.1221 and H.R. 1392 will amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under Part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's Average Sales Price (ASP).
340B DSH hospitals provide nearly twice as much care as non-340B hospitals – 41.9 percent versus 22.8 percent – to Medicaid beneficiaries and low-income Medicare patients. 340B hospitals provide 40 percent more uncompensated care as a percent of total patient care costs than non-340B hospitals – $24.6 billion to $17.5 billion.
How Medicare flex cards work. Not everyone in a Medicare Advantage plan will qualify for a flex card, and if you’re enrolled in traditional Medicare, you can’t get one. Spending limits vary by ...
Some patient portal applications enable patients to register and complete forms online, which can streamline visits to clinics and hospitals. Many portal applications also enable patients to request prescription refills online, order eyeglasses and contact lenses, access medical records, pay bills, review lab results, and schedule medical ...
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