Breakthrough CAR-T Therapy for Acute Myeloid Leukemia Advances as Second Patient Treated
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CMS Proposes Pay Bump for CAR-T in FY 2026
The Centers for Medicare & Medicaid Services (CMS) proposed to continue using its Medicare Severity Diagnosis-Related Group (MS-DRG) for chimeric antigen receptor T-cell (CAR-T) treatment stays in fiscal year (FY) 2026, but with a 17% increase in the base rate. CMS also proposed to continue providing differential reimbursement based on whether a drug was provided as part of a clinical trial, with a parallel increase proposed. The financial impac…
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