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CMS, Ozempic and Medicare
CMS faces renewed legal pressure on drug price negotiation program
Teva Pharmaceuticals is suing the Centers for Medicare & Medicaid Services (CMS) for its implementation of the drug price negotiation program under the Inflation Reduction Act (IRA). | A new lawsuit from a drug manufacturer,
CMS to seek Medicare negotiations on Ozempic price
The Centers for Medicare and Medicaid Services (CMS) has included Ozempic among the next 15 drugs chosen for Medicare negotiation. CMS listed Ozempic, Rybelsus and Wegovy — all forms of semaglutide — at the top of the list of drugs for which Medicare will the negotiate the price of in 2025.
Ozempic among drugs targeted in upcoming Medicare price negotiations
Novo Nordisk’s blockbuster diabetes and weight-loss drugs Ozempic and Wegovy are among a group of 15 drugs set to be affected by the next round of US government price negotiations by Medicare. The group of drugs accounted for about $41bn in annual spending by Medicare,
McKnight's Senior Living
1d
CMS announces updated Medicaid eligibility standards for 2025
The Centers for Medicare & Medicaid Services on Friday released an informational bulletin with updated federal poverty level ...
McKnight's Long-Term Care News
5d
Tougher Medicaid renewals, funding cuts could lead to crisis, closures: CMS administrator
The CMS administrator highlighted her agency’s efforts to help states fast-track Medicaid renewals — and warned of walking ...
aha.org
1d
CMS says record 24.2 million enrolled in Marketplace coverage for 2025
The Centers for Medicare & Medicaid Services Jan. 17 announced a record 24.2 million consumers selected health coverage ...
Winston-Salem Journal
6h
NC leaders worry about future of Medicaid expansion after Trump takes office
"If CMS reduces it below 90%, I will be the first to push to eliminate, as that was not the deal we made," said Rep. Donny ...
Health Affairs
6d
Medicaid And CHIP: Program Improvements And The Need To Protect Them
CMS has been dedicated to strengthening Medicaid and CHIP by helping eligible people more easily enroll and keep their ...
Fierce Healthcare
2d
Alignment Healthcare sues CMS over star ratings, disapproves of federal contractor's role
Alignment Healthcare is the latest Medicare Advantage (MA) insurer to accuse the Centers for Medicare & Medicaid Services ...
STAT
2d
How the FDA and CMS worked together on a new approach to paying for digital mental health treatments
By establishing coding and separate payment for certain digital mental health devices, this group from CMS and the FDA hopes ...
Commonwealth Fund
5d
Work Requirements for Medicaid Enrollees
This explainer defines Medicaid work requirements, updates their current status at the federal and state levels, and ...
JD Supra
3d
Understanding CMS “Immediate Jeopardy” Investigations in Healthcare Facilities
When it comes to ensuring patient safety, healthcare facilities operate under a complex regulatory framework, including ...
aha.org
4d
CMS finalizes notice of benefit and payment parameters for 2026
The Centers for Medicare & Medicaid Services Jan. 13 released its standards for the health insurance marketplaces for 2026, ...
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