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Last month, the Centers for Medicare and Medicaid Services decided to conduct a National Coverage Assessment of Provenge in order to set a standardized policy about payment.
FORBES: Dendreon's Magic Numbers
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There is a fear that by taking the unusual step of making a National Coverage Assessment (NCA) of Provenge, Medicare is looking to avoid paying for Provenge at all.
FORBES: Dendreon Data Are Merely Moderate, But Stock Surges Anyway
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Forbes spoke with Louis Jacques, the director of the Coverage and Analysis Group at the Medicare center, to learn more about the process, called a National Coverage Assessment, and the decision that will result after a period of public comment and the accrual of scientific data, called a National Coverage Determination.
FORBES: Why Medicare Is Reviewing Provenge