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The continued shame of pharma

World of DTC Marketing

Yet, high drug prices lead to soaring out-of-pocket costs , dangerous drug rationing , and a depletion of limited financial resources —especially for those with fixed incomes. This would include drugs covered by both Medicare Part B (physician-administered drugs) and Part D (prescription medications). The secretary of the U.S.

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An app can never replace a doctor

World of DTC Marketing

Together with the growth in wearables—projected to be worth nearly $120 billion by 2028—we are seeing growing democratization of knowledge of one’s own body, with tech enabling consumers to take a more active and regular role in their healthcare. Physicians have not bought into the hype around apps. The Economist.

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Improving Patient-Physician Interaction with AI-Enhanced Data

PM360

However, maintaining meaningful interactions between patients and physicians has become increasingly challenging amid the complexities of clinical data management and modern medical practice demands, impacting patient satisfaction, trust, and healthcare outcomes. million by 2028.

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CD19 CAR-T agents to boost blood cancer market

European Pharmaceutical Review

It is set to retain its market-leading position as the most lucrative CD19 CAR-T agent in NHL, with annual sales reaching $1.7 Breyanzi is approved for DLBCL, and a label expansion is anticipated for expansions into marginal zone lymphoma (MZL) and mantle cell lymphoma (MCL) in 2026 and 2028, respectively.

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Consequences of the First 10 Drugs Selected for Medicare’s Negotiation Program

PM360

CMS negotiation may lead to additional savings for beneficiaries and for the Medicare program. After this period, CMS will begin to include physician-administered drugs covered under Part B in the program. The IRA sets physician reimbursement of these products at the CMS-established MFP plus 6% versus current average sales price.

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Your Guide to Virtual Reality Reimbursement in the U.S. Healthcare Market

Nixon Gwilt Law

CMS and other payors do not currently pay for these codes , but billing practitioners should continue to submit claims including the codes to provide necessary information that will hopefully lead to more reimbursement opportunities for VR in the future. Telehealth. Remote Therapeutic Monitoring (“RTM”).

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Five points on CMS’s first ten picks for price negotiations

Clarivate

The dearth of cancer drugs (only blood cancer drug Imbruvica made this first list) stems from CMS only pursuing negotiations for Part D drugs in 2026 and 2027, then expanding to Part B drugs in 2028. Part D cannot cover drugs covered under Part A or Part B , forcing them to be addressed separately.