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Medicare

Latest Headlines

Latest Headlines

Strong one-year data for Boston Scientific chronic pain implant, but reimbursement change stymies sales

Boston Scientific has released one-year, retrospective data to demonstrate efficacy for its Precision Spectra Spinal Cord Stimulator in treating chronic lower back pain.

Congress looks to deflate Medicare coverage of penis pumps

The U.S. House of Representatives this week passed a bill that specificially bans Medicare coverage of vacuum erection systems (VES) used to treat impotence.

BioMérieux subsidiary nails Medicare coverage for breast cancer molecular test

A subsidiary of French in vitro diagnostics giant bioMérieux gained Medicare coverage for a new breast cancer test, a vital milestone necessary to compete in today's market.

Copay coupons get the Inspector General treatment

The HHS Inspector General's office says the fine print isn't enough to safeguard against Medicare recipients' coupon use. Drugmakers have to do more--or risk violating antikickback laws.

Can copay coupons be kickbacks? HHS says yes

A big no-no in the co-pay coupon world is Medicare. It's illegal to promote money-off coupons to Part D beneficiaries, because the government figures--rightly so--that the promos work to boost their brands over generics or other cheaper alternatives. But a new Inspector General's report points out that some 7% of seniors are using coupons to help cover their prescriptions. 

Lilly funds lawsuit over CMS Amyvid rejection

Eli Lilly's Alzheimer's imaging agent, Amyvid, can't get very far sales-wise without coverage from the Center for Medicare and Medicaid Services (CMS). And as per a September decision, that's something it doesn't have. Now, however, it's fighting back, funding litigation it couldn't file itself.

Cancer Genetics boosts Medicare coverage for DNA-based cancer Dx

Cancer Genetics isn't making money yet. But the New Jersey developer of DNA-based cancer diagnostics closed out its 2014 second quarter with smaller losses, some strategic acquisitions and a biomarker development partnership with AstraZeneca.

District judge green-lights kickback lawsuit against Novartis

Novartis has to face a kickbacks lawsuit filed by the U.S. Department of Justice, which alleges that the Swiss drugmaker gave pharmacies discounts and rebates to boost sales of two drugs, a federal judge ruled Thursday.

Study: Medicare reimbursed 9.1 million unnecessary procedures

Medicare spent $8.5 billion on unnecessary procedures in 2009, according to a Harvard Medical School study.

LabCorp slips as Medicare bites into revenue

Diagnostics giant LabCorp posted another quarterly slip up, as declining reimbursements and bad weather dragged down its long-running turnaround effort.