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BioWorld - Saturday, December 6, 2025

Medicare

Home » Topics » Regulatory » Medicare
  • White tabletl with dollar sign imprint
    Nov. 26, 2025
    By Randy Osborne

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

    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.
  • Cms medicare reimbursement
    Nov. 26, 2025
    By Mark McCarty

    OIG sees potential for savings in Medicare CGM coverage

    The Office of Inspector General issued a report stating that the Medicare program could save “tens of millions of dollars” in a single year on continuous glucose monitors and associated supplies if the Centers for Medicare & Medicaid Services acted to apply price pressure on suppliers.
  • Cms logo and website
    Nov. 26, 2025
    By Mark McCarty

    Cardiology societies laud Medicare coverage of EP procedures at ASCs

    The U.S. Centers for Medicare & Medicaid Services will cover certain cardiac electrophysiology procedures in ambulatory surgical centers in 2026. This change which drew the support of both the Heart Rhythm Society and the American College of Cardiology, which could increase device utilization.
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    Spittin’ Image: Or, How I Am Probably Going to Die

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    By Jim Stommen

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