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CMS proposes risk adjustment changes, broker fraud crackdown for 2026 plan year

Fierce Healthcare

CMS is looking to shake up the risk adjustment model and wants the ability to suspend shady brokers from the insurance marketplace, the agency wrote among other updates in a new proposed rule. A proposed rule from the Centers for Medicare & Medicaid Services (CMS) released Oct. |

Insurance 105
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STAT+: Freespira bets on slow and steady, amid spectacular digital health collapses

STAT

Freespira CEO Joe Perekupka told STAT the company believes it will break even by the end of 2025 and will become cash flow positive in 2026. Perekupka said Freespira hopes to enroll 2,500 people in its treatment this year — twice last year’s sales — and to double its patients again in 2025 and 2026.

Insurance 102
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How much is Fiasp without insurance?

The Checkup by Singlecare

The 10 mL (100 unit/mL) vial is $350 without insurance. Fiasp is currently not available in a generic version, and the soonest the patent for the brand name may expire is 2026 ; not until after that date would a generic version be expected. Is Fiasp covered by insurance? How much does Fiasp cost without insurance?

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How much is Fycompa without insurance?

The Checkup by Singlecare

Is Fycompa covered by insurance? | How much does Fycompa cost without insurance? | How to get Fycompa without insurance. Since Fycompa is only sold as a brand-name drug, people without insurance may find that it might not be the best economical choice. Is Fycompa covered by insurance? SingleCare price.

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How much is Janumet without insurance?

The Checkup by Singlecare

Is Janumet covered by insurance? | How much does Janumet cost without insurance? | How to get Janumet without insurance Janumet is a brand-name prescription drug that combines two diabetes medications: metformin and sitagliptin. A generic version of sitagliptin may be available as early as 2026 or as late as 2029.

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How much is Fiasp Flextouch without insurance?

The Checkup by Singlecare

Without insurance, the cost of Fiasp Flextouch for five pens can be over $700. Many people may be unable to afford this insulin product without insurance. The earliest the patent for the brand name may expire is 2026 , after which a generic version may be made available. Is Fiasp Flextouch covered by insurance?

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Does Medicare cover Trintellix?

The Checkup by Singlecare

With or without insurance or Medicare, there are additional ways to reduce out-of-pocket expenses for Trintellix. Without private insurance or Medicare prescription drug coverage, the cost of Trintellix varies depending on the pharmacy and location. In some cases, insurance plans may also implement step therapy protocols.