Plan sponsors may make the creditable coverage determination through actuarial equivalence testing or a simplified determination methodology. However, the Inflation Reduction Act of 2022 (“IRA ...

"We've seen evidence of limited responsiveness to national coverage determinations in other contexts." It is also possible that the claim denials reflect a lag between clinical treatment ...

1 Medicare coverage will apply to eligible beneficiaries with advanced solid tumors who meet the coverage criteria outlined in the MolDx local coverage determination (L38043).

Bob Ferguson’s desk — requires private insurance companies follow transparent, and widely agreed upon criteria when making coverage determinations about mental health and substance abuse ...

The provisions in this final rule are applicable to coverage beginning Jan. 1 ... Price Negotiation Program clarified MA organization determinations in the inpatient setting implemented policies ...

The CMS – which received more than 10,000 comments on the drug – said it had arrived at the National Coverage Determination (NCD) verdict because "questions still need to be answered" about ...

The U.S. Centers for Medicare & Medicaid Services decided to peel back a series of local coverage determinations for skin substitute grafts that provoked a vigorous response from stakeholders.

AUSTIN (KXAN) — A few more rounds of showers and thunderstorms will move through Central Texas this evening, with partly cloudy skies overnight. Sunset tonight is at 8:15 pm. Mother’s Day will ...

Latvian filmmaker Gints Zilbalodis accepts the award for best animated feature film for ‘Flow.’ (AFP via Getty Images) “Flow,” the underdog entry from Latvia about a group of animals who ...

The Court of Arbitration for Sport (CAS) has dismissed an appeal from Mexico’s Club León against their exclusion from the Club World Cup by the ruling body FIFA over ownership rules. The CAS said on ...