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BioWorld - Saturday, April 25, 2026
Home » reimbursement

Articles Tagged with ''reimbursement''

Product image

CMS steers closer to coverage of secondary mitral regurgitation in draft coverage rewrite

July 1, 2020
By Mark McCarty
The U.S. Centers for Medicare and Medicaid Services (CMS) posted the much-anticipated draft do-over of the mitral valve repair device coverage memo, and in the process renamed the policy the mitral valve transcatheter edge-to-edge repair (TEER) national coverage memo.
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Carmat’s artificial heart product image
Bioprosthetic artificial heart

Carmat obtains nod for reimbursement for its total artificial heart under innovation scheme in France

May 29, 2020
By Bernard Banga
PARIS – Carmat SA, which is based in Vélizy Villacoublay, France, reported the first implantation of its bioprosthetic artificial heart at the Heart Center of the Rigshospitalet in Copenhagen, Denmark.
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Artery and plaque

Coronary drug-eluting balloons finally win reimbursement in France

May 1, 2020
By Bernard Banga
PARIS – April 2020 was a milestone month for the key players in interventional cardiology in France. The reimbursement system in France is finally opening its doors to the drug-eluting balloon (DEB), following years in the wilderness.
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Tablet, health professional, EHR/medical icons
Digital health developers, telehealth among the winners

CMS, ONC rules for electronic health records largely mirror both drafts

March 10, 2020
By Mark McCarty
The Office of the National Coordinator (ONC) and CMS both posted their final rules for electronic health records (EHRs), and analysts with Cowen Washington Research Group said both rules essentially replicate the draft versions. The provisions dealing with data blocking and interoperability are expected to benefit developers of HER systems in the near term, and telehealth should also benefit, albeit over a longer scale of time.
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French flags on building

Med-tech companies in France suffering from regulatory inertia in their home market

Feb. 25, 2020
By Bernard Banga
PARIS – The Syndicat National de l'Industrie des Technologies Médicales (SNITEM), the French national association of medical technology manufacturers, has just released a study looking at the development of this industrial sector in that country. This snapshot, produced every two years by the firm D&Consultants SAS on behalf of Courbevoie, France-based SNITEM and the bank Bpifrance SA, is based on a dual quantitative and qualitative approach.
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Orthopedics implants, joint-replacements

CMS adds three years to joint replacement demo, but device makers at low risk

Feb. 21, 2020
By Mark McCarty
The U.S. Centers for Medicare and Medicaid Services (CMS) announced it may tack on another three years to the Comprehensive Care for Joint Replacement (CJR) program, proposing among other things to drop the 50% cap on gainsharing payments. Analysts with Cowen Washington Research Group, of New York, said post-acute care providers are at greater risk than device makers with the extension, however, due to the fact that hospitals have several choices in terms of discharge destination, including the patient’s home.
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Medicare puzzle

Abbott urges CMS to rethink coverage for ventricular assist devices

Feb. 5, 2020
By Mark McCarty
Medicare coverage of ventricular assist devices assumes the patient is either in end-stage heart failure or could become a candidate for transplant, but that approach may soon change. Abbott Laboratories, of Abbott Park, Ill., has asked that Medicare coverage assume the patient can recover myocardial function, a paradigm shift that is backed by clinical evidence.
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Heartflow eyes two more MACs, but rates still a source of drag

Jan. 31, 2020
By Mark McCarty
Heartflow Inc., of Redwood City, Calif., is working on two Medicare administrative contractors (MACs) to cover its functional flow reserve algorithm for the coronary arteries, but Heartflow’s Heather Brown told BioWorld that said that the existing local coverage policies fall far short of the cost of the service, thus impeding beneficiary access.
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DNA NGS genome sequencing

CMS loosens restrictions on next-gen sequencing in coverage memo update

Jan. 28, 2020
By Mark McCarty
The U.S. Centers for Medicare and Medicaid Services (CMS) has significantly relaxed the national restrictions on coverage of next-generation sequencing for cancer, affirming that early-stage breast and ovarian cancer patients will be covered. However, Medicare administrative contractors can cover tests that have not been reviewed by the FDA, a move that should also significantly boost utilization for makers of next-generation sequencing systems in clinical labs.
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Magnet attracting money
Precision Medicine World Conference

Novel Dx companies start to see a better path with payers, but continue to work all the angles

Jan. 23, 2020
By Stacy Lawrence
SANTA CLARA, Calif. – It has never been easy to get payers to reimburse in a timely and adequate fashion for novel diagnostics, making it notoriously difficult to build a business from them. But a few high-flying diagnostics companies, such as Madison, Wis.-based Exact Sciences Corp. and Redwood City, Calif.-based Guardant Health Inc., have been blazing the trail recently on how to rapidly scale up to become valuable commercial entities from origins as a research-based startup.
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