A legal expert said such delays from CMS are unusual. The agency said May 17 that it would delay its long-awaited national coverage determination for CAR-Ts, but since then even drugmakers haven't been given a reason or timeline.
In a statement, the agency said that a decision on whether to have Medicare cover the cell therapies would not be issued Friday, but would be forthcoming.
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The changes will take place 60 days after the rule is published in the Federal Register. Industry trade group PhRMA have opposed the rule, saying it will lead to consumer confusion and sticker shock that could discourage medication use.
Beginning in June, the Livongo for Diabetes program will be available to Medicare Advantage members of Cambia Health Solutions' regional health plans.
The agency also proposed increasing the maximum new technology add-on payment from 50 percent to 65 percent for fiscal year 2020.
CMS has partnered with the American Academy of Family Physicians and the Laura and John Arnold Foundation to award up to $1.65 million to selected participants.
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Dr. Mark Roche is a former Northwestern University professor and NIH researcher focused on medical informatics and healthcare interoperability. He also served a physician advisor for ONC and HHS/
Through the Emergency Triage, Treat and Transport model, CMS will pay ambulance suppliers and providers to transport Medicare beneficiaries to an alternative location (like an urgent care clinic) and to provide treatment in place with a practitioner.
In a letter to state Medicaid directors, the agency said states can pursue reimbursement for short-term residential treatment services in an institution for mental disease.
In a phone interview, Matt Fisher, a partner with Mirick O'Connell, said CMS' latest actions regarding virtual care are beneficial but noted doctors shouldn't forget about the privacy and security side of the coin.
The layout of your phlebotomy station can significantly impact efficiency. A well-thought-out setup ensures that every tool is within reach, minimizing unnecessary movement and reducing patient wait times.
Medicare will pay for certain communication technology-based services, the remote evaluation of recorded video and/or images and an expanded list of telehealth services.
Accusations of "freeloading" seen as misleading, and the proposed changes - which would start in 2020 - wouldn't help patients covered under Part D or commercial plans.
In a speech at a University of Southern California-Brookings Institution event, Seema Verma pointed to 2016 figures showing more than $1 billion in missed savings.
A legal expert compared mandatory prices in ads to food labeling, but another expert said mandating them risks scaring patients out of taking life-saving medicines.
Transparency in pricing negotiations is key to ensuring costs are brought down, experts say, pointing to state-level legislation to mandate it.