Medicare to weigh nationwide coverage rules for Biogen Alzheimer s drug
Responding to calls from insurers and patient groups, CMS will consider whether a single policy is necessary for Aduhelm. Published July 12, 2021 Permission granted by Biogen
The Centers for Medicare and Medicaid Services will formally consider whether to adopt nationwide rules for coverage of Biogen s new Alzheimer s drug Aduhelm, announcing Monday the opening of a determination process that could shape how millions of Americans are able to access the controversial treatment.
Patient advocacy groups and insurers have urged CMS to set a single Medicare policy on coverage of Aduhelm, which Biogen priced at an average cost of $56,000 per year. Experts fear the drug the first new Alzheimer s treatment approved in nearly two decades and the first ever meant to treat the disease s underlying cause could add tens of billions of dollars to
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