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Medicare Coverage of New Oncology Technology

February 27, 2026

Prevention and robust clinical innovation is accelerating progress across the care continuum by enabling earlier, more effective interventions and minimizing unnecessary treatment. Advances in medical devices have the potential to improve patient outcomes, reduce beneficiaries’ overall cost of care, and lower potential costs to the Medicare program. As cancer risk increases with age, it is critical to understand how the Centers for Medicare & Medicaid Services (CMS) ensures access to cutting-edge oncology technologies under Medicare – the primary insurer for individuals over 65.

This paper analyzes Medicare’s coverage determination process and proposals to expedite beneficiaries’ access to new oncology technologies and presents policy recommendations for reform.

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Related Resources

December 10, 2025

Sources of Health Care Coverage in the United States

Health insurance coverage is essential for cancer prevention, diagnosis, treatment, and symptom management and is a strong indicator of cancer survival. 

This infographic shows the types of health coverage held by working-age Americans and cancer patients and survivors and provides a breakdown of the groups most likely to be uninsured.

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The Availability of Junk Plans Harm Cancer Patients

November 13, 2025

Access to affordable, comprehensive health care coverage, which Affordable Care Act (ACA) coverage standards help to ensure, is crucial for cancer patients and survivors. Unfortunately, changes to the regulation of insurance have led to the proliferation of “junk plans” that are non-ACA compliant and pose a significant risk to beneficiaries.

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