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Understanding Genetic Testing for Hereditary Cancers: Empowering Personalized Care

by John Warren | Jan 20, 2025

The 2025 National Comprehensive Cancer Network® (NCCN®) Guidelines for Patients provide a comprehensive roadmap for genetic testing aimed at hereditary cancers, including breast, ovarian, pancreatic, and prostate cancers. This resource emphasizes the critical role of...

Navigating the Headwinds: How Regulatory Healthcare Challenges Affect the Commercialization of Novel Healthcare Products

by John Warren | Oct 11, 2024

Becker’s Payer Issues recently interviewed 16 healthcare executives about issues that are presenting challenges to the payer community. In today’s evolving healthcare landscape, it’s not just insurance payers feeling the strain of regulatory and political...

Gene Therapy: The Unexpected Twist That Could Unlock Massive Medicare Payment Bumps

by John Warren | Apr 16, 2024

In their FY 2025 Inpatient Prospective Payment System proposed rule, CMS proposes a policy that would increase Medicare payment for gene therapy targeting sickle cell disease. CMS asserts that these additional New Technology Add-on Payments would increase access to...

The Little-Known Rule That Could Disrupt the Medicare Essential Medicines Market

by John Warren | Apr 15, 2024

As a part of the CMS FY 2025 Inpatient Prospective Payment System proposed rule, CMS followed up on its promise from last year to propose policies that would help the hospital industry to maintain access to essential medicines. But could this Medicare Essential...

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