Are Medicare Advantage (MA) plans allowed to require patients to go through “step therapy” to get a medication or treatment they need? Yes — for now — but physician groups are trying to change that.
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DHPA in the News
MedPage Today: CMS Proposes to Rescind ‘Most Favored Nation’ Drug Pricing Rule
The Biden administration is planning to rescind a “Most Favored Nation” rule from the Trump administration that would have tested a model requiring that Medicare pay no more for certain drugs than the price paid by some other developed nations. Nadeem Baig, MD, a gastroenterologist in Oakhurst, New Jersey, and a member of the board […]
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USA Today: Telehealth can be lifesaving amid COVID-19, yet as virus rages, insurance companies look to scale back
Cynthia Peeters’ stomach started hurting in mid-February as COVID-19 began dominating the news. By April, the pain was overwhelming, but she was too anxious about the virus to go to the doctor. Her gastroenterologist did a cellphone video visit with her and suggested a diet change.
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Healio Gastroenterology: Telehealth in a Pandemic, Just the Beginning of the Story
COVID-19 has accelerated the need for GI practices to use telehealth as a way to deliver patient care and has forced GI practices to rapidly transition to telehealth.
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Medscape: Gastroenterology Groups Map a Return to Elective Endoscopy
Gastroenterologists can safely return to elective procedures when adequate personal protective equipment (PPE) is available, professional societies say.
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