Medicare’s CED For Alzheimer’s Drugs May Exceed Statutory Authority, Former HHS Attorneys Say

Coverage determination should not treat drugs approved through US FDA’s accelerated approval pathway the way Medicare has handled medical devices over the past several years, former Trump and Bush administration officials warn.

Has CMS Gone A Bridge Too Far With CED? • Source: Alamy

The Centers for Medicare and Medicaid Services diverged from its statutory authority and past precedents when it proposed that Medicare would only cover Alzheimer’s drugs, including Biogen, Inc./Eisai Co., Ltd.’s Aduhelm and similar treatments in development, when patients are enrolled in an approved randomized clinical trial, according to two former attorneys with the US Health and Human Services Department.

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