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Top avalerehealth.com News

Supreme Court endorses Obamacare panel that requires free preventive care
Obamacare · United States

Supreme Court endorses Obamacare panel that requires free preventive care

56% Center coverage: 149 sources
The Supreme Court on Friday rejected a challenge to an Affordable Care Act provision that set up a panel to recommend preventive care services that insurers must provide at no cost to patients.See the Story
Kennedy Is a Shot in the Arm for the Anti-Vaccine Movement
Robert F. Kennedy Jr. · United States

Kennedy Is a Shot in the Arm for the Anti-Vaccine Movement

50% Center coverage: 8 sources
The US appears to be turning its back on a scientific consensus that has relegated several diseases to historySee the Story
Dr Klempner Highlights Practice-Changing Role of Durvalumab/FLOT in Gastric Cancer
Healthcare · United States

Dr Klempner Highlights Practice-Changing Role of Durvalumab/FLOT in Gastric Cancer

Targeted Oncology connects oncology professionals with updates on immunotherapy, biomarkers, cancer pathways, and targeted precision medicine strategies.See the Story

FY 2026 ICD-10-CM Codes Released

The new International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes will become effective on October 1, 2025, and will be utilized for patient encounters and discharges occurring from October 1, 2025 – September 30, 2026. The update introduces over 400 new diagnosis codes that will address emerging health concerns, enhance clinical specificity, support accurate reporting, and reflect advances in medical know…Washington DC · WashingtonRead Article

IRA, MFN, and Ongoing Fiduciary Pressures Creates Ripple Effect Across the Healthcare Ecosystem

As the Centers for Medicare and Medicaid Services (CMS) implements the Inflation Reduction Act’s (IRA) Medicare Drug Negotiation Program, there are several other market dynamics, such Most-Favored Nation (MFN) pricing and broader fiduciary pressures, that are altering the status quo and taking center stage in policy debates.  Stakeholders must anticipate near and long-term implications of the concurrent ripple effects of these policies. Planning…Inflation Reduction Act · United StatesRead Article

Inside Compendia: Introduction to Clinical Drug Compendia

The post Inside Compendia: Introduction to Clinical Drug Compendia appeared first on Avalere Health Advisory.Read Article

President Trump’s Proposed AHRQ Cuts Would Impact Preventive Care Access

Background on USPSTF and AHRQ The U.S. Preventive Services Task Force (USPSTF) is an independent panel of 16 experts appointed by the Secretary of Health and Human Services (HHS) that voluntarily provide recommendations on preventive services for adults and children provided in or referred from the primary care setting. According to the USPSTF procedure manual, the Task Force evaluates specific interventions and issues recommendation with a lett…Donald Trump · United StatesRead Article

Quality is Critical to Manufacturers’ Commercialization Strategies

What is Quality in Healthcare? While clinical outcomes are a cornerstone of quality, the definition of quality in healthcare encompasses far more about the structures, processes, and experience of care beyond clinical outcomes alone. The Centers for Medicare and Medicaid Services (CMS) Innovation Center defines quality of care as “The degree to which health services for individuals and populations increase the likelihood of desired health outcom…Healthcare · BethesdaRead Article

Variability of Comparator Drugs in Ex-US HTAs Offers Lessons for the IRA

As a key component of the Medicare Drug Price Negotiation Program under the Inflation Reduction Act (IRA), the Centers for Medicare and Medicaid Services (CMS) compares products under negotiation with therapeutic alternatives to establish comparative benchmarks for safety, effectiveness, and cost. Across the globe, health technology assessment (HTA) bodies use comparative processes to inform decisions about product coverage, cost-effectiveness, …Drug Prices · United StatesRead Article

Inside the Latest RADV Regulatory Developments

The post Inside the Latest RADV Regulatory Developments appeared first on Avalere Health Advisory.Read Article

White Paper: Health System Consolidation and Employer Payer Considerations

Read the full white paper. Background Over the last several decades, the United States healthcare landscape has seen a significant shift of formerly independent physician practices joining health systems, as well as mergers and acquisitions between health systems. While similar healthcare consolidation trends have been present in Chicago, Illinois, a unique confluence of regional factors, including the presence of several large health systems an…Chicago, IL · ChicagoRead Article

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