Medicare

How medical recoding may limit options for breast reconstruction for cancer patients

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The federal government is reconsidering a decision that breast cancer patients, plastic surgeons and members of Congress have protested would limit women’s options for reconstructive surgery. On June 1, the Centers for Medicare & Medicaid Services plans to review how doctors are paid for a type of breast reconstruction known as a DIEP flap, in … Read more

Will Medicare cover it? Drugs like Aduhelm are challenging his standard

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This article is adapted from the latest STAT report: Decoding Medicare: 10 Key Coverage Decisions and How They’re Made. mEdicares’ decision to suspend coverage for Biogens Aduhelm despite the Alzheimer’s drug approval by the Food and Drug Administrations has revived long-standing questions about how the federal program determines whether it will pay for new drugs … Read more