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BioWorld - Wednesday, May 6, 2026
Home » Keywords » Centers for Medicare & Medicaid Services

Items Tagged with 'Centers for Medicare & Medicaid Services'

ARTICLES

Medicare puzzle

CMS rewrites organ procurement rule to expand availability

Jan. 30, 2026
By Mark McCarty
A new draft guidance for organ procurement organizations doing business in the U.S. would seem to tackle some pressing issues with organ donation, such as the conditions in which a problem qualifies as an adverse event. Perhaps of greater interest to companies in the organ container business is that the Centers for Medicare & Medicaid Services is intent on increasing the availability of organ donations to deal with an insatiable demand for donated organs.
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Medicare puzzle

CMS hears discord in comments for TAVR coverage memo

Jan. 16, 2026
By Mark McCarty
The Centers for Medicare & Medicaid Services has cracked open its coverage policy for transcatheter aortic valve replacement devices a second time, and a wide range of stakeholders are providing feedback. Where the agency will land on questions such as the need for continued evidence development is difficult to predict, however, given that the agency is hearing anything but unanimity on the question.
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White tablet imprinted with dollar sign

Gimme shelter: Neurocrine, Lilly spared in CMS price cut fallout

Nov. 26, 2025
By Randy Osborne
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The U.S. Centers for Medicare & Medicaid Services (CMS) rolled out negotiated costs of the second batch of drugs subject to such bargaining under the Inflation Reduction Act. Wall Street was not surprised to learn that the numbers amount to much greater cuts than the Biden administration managed for 2026. CMS said the adjusted maximum fair prices would have achieved 44% lower net spending had they been implemented in 2024 – 36% if forgiven discounts from the part D redesign of the Medicare prescription drug benefit are figured in. Fifteen drugs are listed.
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Medicare puzzle

Congress questions Medicare’s WISeR proposal

Aug. 14, 2025
By Mark McCarty
The U.S. Centers for Medicare & Medicaid Services proposed to use AI to cut down on abuse of the Medicare program, but several members of Congress have concerns about the notion, given that private payers have used AI to illegitimately deny services to their beneficiaries.
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Medicare puzzle

Congress questions Medicare’s WISeR proposal

Aug. 13, 2025
By Mark McCarty
The U.S. Centers for Medicare & Medicaid Services proposed to use AI to cut down on abuse of the Medicare program, but several members of Congress have concerns about the notion, given that private payers have used AI to illegitimately deny services to their beneficiaries.
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Medicare puzzle

MedPAC sounds alarm over Medicare physician pay rates

June 23, 2025
By Mark McCarty
The Medicare Payment Advisory Commission advised Congress that inflation is taking a bite out of physician pay and Medicare payments may have to increase in order to preserve patient access to care.
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CMS logo and website

Congressional disinterest in CMS appropriations likely to persist

Jan. 7, 2025
By Mark McCarty
The discussion about taxpayer appropriations for CMS has been ongoing for decades, leading to futile speculation regarding user fees for the agency. Louis Jacques, who formerly worked at CMS, told BioWorld that Congress tends to be somewhat reactive when it comes to appropriations for CMS – a dynamic which suggests that appropriations for CMS are not likely to improve significantly in the near term.
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MDMA Annual Meeting

Cassidy sees risk of hurried US legislation for AI

April 18, 2024
By Mark McCarty
One of the problems with the European Union’s Artificial Intelligence Act is that it spans all sectors of the E.U. economy, an approach that Sen. Bill Cassidy (R-La.) suggested is less than optimal in remarks to this year’s meeting of the Medical Device Manufacturers Association. Nonetheless, Cassidy said some in the Senate are keen to pass legislation without taking proper stock of the lack of congressional expertise, which runs the risk that hasty legislation may create more problems than it solves.
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CMS rule gives faster access to Part D biosimilars

April 5, 2024
By Mari Serebrov
In finalizing its 2025 Medicare Advantage and Part D rule, the U.S. Centers for Medicare & Medicaid Services (CMS) all but did away with the coverage differences between biosimilars and interchangeables.
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Hand holding ballot over box, US flag backdrop

BIO CEO 2024: Policy impact on US election year will linger

Feb. 27, 2024
By Lee Landenberger
Drug pricing is playing an outsized role in the dynamics of the November U.S. election, creating turbulence for drug companies and for patients that will extend years after the votes are counted. During a Feb. 27 morning session on drug pricing trends during an election year at the BIO CEO & Investor Conference in New York, key opinion leaders spoke about their concerns, including the need to explain drug-pricing rationale to voters and patients in plain terms.
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