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BioWorld - Friday, February 27, 2026
Home » reimbursement

Articles Tagged with ''reimbursement''

Rejoyn Loading Screen

Otsuka, Click launch digital therapeutic for depression

Aug. 15, 2024
By Annette Boyle
Otsuka Precision Health Inc. and Click Therapeutics Inc. pondered the signature question of cognitive behavioral therapy when setting the market approach for their jointly developed prescription digital therapeutic for major depressive disorder, Rejoyn.
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Medicare puzzle

Medicare inpatient final rule adds DRG for ablation, LAA closure

Aug. 15, 2024
By Mark McCarty
Device makers and physicians alike were less than enthused about several features of the draft Medicare inpatient rule for fiscal year 2025, but thanks in part to support from the device industry, the final rule provides a new code that encompasses both left atrial appendage closure and ablation, a change that may reduce spending without dinging sales of these devices.
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NICE: No evidence for price differentiation of transcatheter heart valves

Aug. 14, 2024
By Shani Alexander
There is no evidence to support the differences in prices that the U.K.’s national health service (NHS) is paying for transcatheter heart valves from Abbott Laboratories, Boston Scientific Corp., Edwards Lifesciences Corp. and Medtronic plc, according to the National Institute for Health and Care Excellence.
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Medicare puzzle

US Medicare’s TCET final fuzzy on definition of ‘similar device’

Aug. 8, 2024
By Mark McCarty
The U.S. CMS announced the release of the Transitional Coverage for Emerging Technologies policy, which is less than clear on the definition of a key term.
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Abbott, Edwards, Medtronic all score in US Medicare inpatient final

Aug. 5, 2024
By Mark McCarty
The U.S. Medicare program’s final rule for fiscal year 2025 inpatient care retains several controversial proposals, but some device makers fared well in their new technology add-on payment (NTAP) applications, including Dublin-based Medtronic plc, which won NTAP payments for two devices.
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Medicare puzzle

Industry supportive of new DRG code for combination of procedures

July 30, 2024
By Mark McCarty
The U.S. CMS proposed a series of changes to the Medicare series of codes for diagnostic-related groups, and device makers had pointed remarks about some of those proposals.
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Thyroid anatomy illustration

Austria’s HTA authority not yet sold on thyroid nodule thermoablation

July 29, 2024
By Mark McCarty
Thermoablation of thyroid nodules meets the patient’s standard of minimal invasiveness and is supported by the literature as an effective treatment for these nodules, which may become cancerous.
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Medicare puzzle

Physicians slam US Medicare doc fee schedule for rate cuts

July 11, 2024
By Mark McCarty
The U.S. Medicare physician fee schedule for 2025 appears set to reduce the number of services that can be provided via telehealth, but the proposed rate cut of 2.8% for physician services triggered a backlash from specialty medical societies, which seem destined to lobby Capitol Hill for a reversal of these cuts.
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CMS logo and website

US CMS dubious of pass-through standing of Boston Sci’s Agent

July 10, 2024
By Mark McCarty
The draft version of the U.S. Medicare hospital outpatient rule for 2025 carries more than a dozen applications for a new technology pass-through payment next year, but Boston Scientific Corp.’s Agent balloon for treatment of in-stent restenosis might not be eligible for NTPT payment because of a debate over whether the device can be assigned to an existing Healthcare Common Procedure Coding System code.
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CMS logo and website

US CMS eyes coverage of home dialysis for acute kidney injury

July 9, 2024
By Mark McCarty
The U.S. Medicare draft prospective payment system for end-stage renal disease encodes a few changes that will cheer industry, including a provision that would increase patient access to pharmaceuticals that are available only in oral form.
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