The Inflation Reduction Act (IRA) of 2022 has brought new urgency to defining the phrase “unmet medical need,” or UMN. The Centers for Medicare and Medicaid Services (CMS) will consider the extent to ...
If you have a bacterial infection, you need to take antibiotics. If health care providers need to determine that you have a broken bone, you’ll need to have an X-ray. Those are some examples of ...
Medicare limits coverage to treatments, services, and supplies deemed medically necessary. If Medicare does not consider a service medically necessary, it will typically not cover it. Medicare covers ...