Medicare Prescription Drug Plans (Part D plans) As we mentioned earlier, Medicare Prescription drug plans can be purchased alongside Original Medicare; this also holds true for Aetna’s coverage. So if your current health plan does not include Part D coverage, you can opt for it through Aetna...
Farahat et al (2023) stated that genitourinary syndrome of menopause (GSM) is a common and disturbing issue with post-menopausal women. Unlike vasomotor symptoms, it has a progressive trend. In a systematic review and meta-analysis, these investigators examined the safety and effectiveness of oxyt...
The member’s participating physician or licensed health care practitioner has determined that the orthosis or prosthesis will allow the member to perform ADLs based on physical examination of the member;and The orthosis or prosthesis is provided within six months of the date of prescription;and The...
CVS Health’s Q1 also wasn’t swell for reasons that are impacting their full year.High medical costs affected their Aetna plans, with high utilization in Medicare Advantage, inpatient admissions, and outpatient services were all high in Q1–$900 million higher than CVS expected. Lower MA STAR ...
Last October, the Department of Justice approved the merger of CVS and Aetna on condition that the latter would sell its Medicare prescription drug plan to WellCare Health Plans. The matter was then brought to Judge Richard Leon of U.S. District Court for the District of Columbia to examine ...
“The end-of-year health care package accompanying the Continuing Resolution has morphed into a massive 400-page bill that includes provisions that would undermine the role that PBMs play in lowering costs and providing choices for employers in the prescription drug marketplace,” said the PBM tra...
Mauch et al (2023) stated that nerve pain often develops after amputations and peripheral nerve injuries. Two innovative surgical techniques, TMR and regenerative peripheral nerve interfaces (RPNI), are rapidly gaining popularity as alternatives to traditional nerve management; however, their effectiveness...
Any trials that considered graded exercise therapy, CBT, adaptive pacing, or any other non-pharmaceutical treatment plans were excluded. The inclusion criteria were examined to ensure that study participants met specific CFS/ME diagnostic criteria. Study size, intervention, and end point outcome ...
Policy Scope of Policy This Clinical Policy Bulletin addresses parenteral immunoglobulins for commercial medical plans. For Medicare criteria, seeMedicare Part B Criteria. Note: Requires Precertification: Precertification of intravenous immunoglobulins (IVIG) [Alyglo, Asceniv, Bivigam, Flebogamma DIF, Ga...
Proton beam radiotherapy plans were superior to photons in limiting dose to organs at risk; PBRT decreased dose by 46 % (8.2 Gy) and 64 % (10.2 Gy) to the stomach and large bowel, respectively (p < 0.01). Notably, PBRT was found to avert 300 excess second cancers among 10,000 men ...