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Home » Topics » Regulatory » CMS

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Regulatory front

CMS posts final coverage memos for VADs, artificial hearts

Dec. 2, 2020
By Mark McCarty
The latest global regulatory news, changes and updates affecting medical devices and technologies, including: FDA slaps two companies for illicit COVID offerings; FDA approves new PET imaging agent for prostate cancer.
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Colorectal cancer illustration

Test sensitivity, specificity debated in Medicare colorectal cancer biomarker coverage draft

Nov. 24, 2020
By Mark McCarty
The draft version of the U.S. Medicare national coverage analysis for blood-based biomarker tests for colorectal cancer (CRC) engendered a large body of support, but several stakeholders recommended that the Centers for Medicare & Medicaid Services (CMS) avoid prescriptiveness regarding the sensitivity and specificity for any tests that would be covered under the policy.
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US flag, Department of Health and Human Services flags

Twin HHS final rules may not find favor under Biden administration

Nov. 23, 2020
By Mark McCarty
Two U.S. federal agencies at the Department of Health and Human Services (HHS) have finalized rules that affect how drug and device makers interact with the health care system, but under the Congressional Review Act, neither rule can go into effect until February 2021. This timeline comes up a couple of weeks after President-elect Joseph Biden is sworn in, thus raising the risk that the new administration at HHS will either modify or overturn these rules altogether.
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U.S. flag, stethoscope

Coverage, reimbursement persist as key considerations for digital health

Nov. 12, 2020
By Mark McCarty
Regulation of the digital health space is in some respects fundamentally different from traditional hardware medical devices, a fact that was highlighted during a Nov. 12 webinar hosted by the U.S. FDA. Nonetheless, several participants in the webinar made the point that the twin problems of coverage and reimbursement are critical issues for digital health as well, a problem that some see as requiring more collaboration between the FDA and the Centers for Medicare & Medicaid Services (CMS).
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Regulatory front

FDA authorizes serology test for neutralizing antibodies

Nov. 6, 2020
By Mark McCarty
The latest global regulatory news, changes and updates affecting medical devices and technologies, including: FDA tweaks export final guidance per CARES Act; OIG: CMS should act to recover payments for device credits.
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Regulatory front

CMS posts ESRD final rule; Baxter comes up short for add-on

Nov. 4, 2020
By Mark McCarty
The latest global regulatory news, changes and updates affecting medical devices and technologies, including: HHS plans retrospective regulatory review.
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U.S. flag and money

MedPAC, industry, wary of proposed Medicare redefinition of reasonable and necessary

Nov. 3, 2020
By Mark McCarty
As might be expected, device makers have a lot of nice things to say about a recent proposal by the U.S. Centers for Medicare & Medicaid Services (CMS) to automatically cover technologies designated as breakthrough devices by the FDA. However, two trade associations and the Medicare Payment Advisory Commission (MedPAC) all expressed serious misgivings about a proposal to define the term “reasonable and necessary” as possibly contingent on private payer coverage.
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Syringes, ampoules, pills and money

New rules let health care pricing out of the box, provide free vaccine

Oct. 29, 2020
By Mari Serebrov
If a new federal rule withstands politics and potential court challenges, U.S. health care prices may finally be freed from their historic black box. The Centers for Medicare & Medicaid Services, along with the Departments of Labor and the Treasury, issued the Transparency in Coverage final rule Oct. 29 requiring most private health plans to disclose pricing and cost-sharing information so Americans will know in advance how much they will have to pay for prescription drugs, medical devices and other health care products and services.
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Regulatory front

Advisory hearing gives Neovasc Reducer poor marks for efficacy

Oct. 28, 2020
By Mark McCarty
The latest global regulatory news, changes and updates affecting medical devices and technologies, including: Advisory hearing gives Neovasc Reducer poor marks for efficacy; CMS eyes expanded DME coverage of CGMs; APEC launches Vision 2025 for business ethics; Innovation Alliance voices support for Iancu, PTAB changes.
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Regulatory front

CMS delays implementation date for radiation oncology bundle

Oct. 23, 2020
By Mark McCarty
The latest global regulatory news, changes and updates affecting medical devices and technologies, including: Nuclear Regulatory Commission issues advisory letter to INIS; HHS authorizes pharmacy interns to test for COVID-19.
Read More
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