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ALS, Biogen and CMS
CMS says private Medicare plans can’t automatically deny Biogen’s ALS drug
In a rare move, the U.S. agency behind Medicare is warning Medicare Advantage providers they can’t have blanket policies that deny coverage of Qalsody because it’s “experimental and investigational.”
Private Medicare plans must cover Biogen's ALS drug, US agency says
The Centers for Medicare & Medicaid Services has directed private insurers providing Medicare Advantage plans to cover Biogen's amyotrophic lateral sclerosis drug Qalsody after finding instances of coverage denial.
Biogen ALS drug needs to be covered by MA plans, CMS says
Medicare Advantage plans must cover Biogen’s (NASDAQ:BIIB) drug Qalsody for the treatment of ALS, according to a report. The U.S. Centers for Medicare & Medicaid Services has directed insurance companies offering Medicare Advantage plans to cover the product after finding it was being denied on the basis it was still considered an experimental
STAT
2d
They agreed to cover a drug for six months — and now I have to fight for it again
Shelby Kinsey lives with a rare, fast-progressing form of ALS — but she has to spend her precious time fighting for insurance ...
devdiscourse
1d
Healthcare Headlines: Lawsuits, Bids, and Drug Approvals Shake Industry
This summary covers key developments in health news, including Mitsubishi Pharma's bidding war, legal actions involving J&J ...
2d
This Week in Health News: 15 Stories You Need to See
With thousands of press releases published each week, it can be difficult to keep up with everything on . To help healthcare ...
3d
Corcept Therapeutics' ALS drug fails in mid-stage trial
Corcept Therapeutics said on Wednesday its experimental drug failed to meet the main goal of a mid-stage trial in patients ...
pharmaphorum
6d
Biogen gets FDA approval for ALS drug Qalsody
The drug – branded as
Qalsody
– is the first therapy to be approved for a genetic form of ALS, and is also notable for being the first neurology therapeutic for which a blood biomarker has ...
3d
Groundbreaking Directive Ensures ALS Patients on Medicare Advantage Gain Access to Qalsody
The Centers for Medicare & Medicaid Services (CMS) has announced a first-of-its-kind directive requiring Medicare Advantage ...
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