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BioWorld - Thursday, December 18, 2025
Home » Topics » Regulatory » CMS

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Digital illustration of U.S., coronavirus

Blood specimen tubes added to FDA’s device shortage list

Jan. 20, 2022
By Mark McCarty
The COVID-19 pandemic has hit supplies and devices across a broad range of categories over the past two years, and the latest addition to the list is the blood collection tube. The FDA announced that this shortage affects all types of blood collection tubes, thus affecting tubes for all uses, not just those used for testing for the SARS-CoV-2 virus.
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DNA

OIG sees areas of possible concern in genetic testing claims filed with Medicare

Dec. 31, 2021
By Mark McCarty
Genetic testing for health care purposes took a hit with the onset of the COVID-19 pandemic, but there are concerns about the volume of these tests in the four years before the onset of the pandemic. The U.S. Office of Inspector General (OIG) said recently that the data suggest possible fraud and abuse of the Medicare program, and that the picture suggests a need for a more concerted regulatory effort by the CMS.
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Medicare puzzle

CMS to cover both adjunctive, non-adjunctive continuous glucose monitors in 2022

Dec. 28, 2021
By Mark McCarty
The U.S. CMS has crafted a payment policy that covers both adjunctive and non-adjunctive continuous glucose monitors (CGMs) in the final rule for durable medical equipment (DME). Medtronic plc, of Dublin, heralded the move as “a very important benefit expansion” for the company’s customers, but the expanded coverage also pays for additional CGMs that work with Medtronic insulin pumps.
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Digital illustration of U.S., coronavirus

Demand for COVID-19 rapid tests may spike for use with FDA-approved therapies

Nov. 30, 2021
By Mark McCarty
While the FDA’s reaction to the results of the Nov. 30 advisory hearing for the COVID-19 therapy molnupiravir is difficult to predict, demand for rapid antigen tests may jump considerably when this or any such product is approved. That increased demand could crunch supplies of these tests due to the convergence of any such approvals, the upcoming holiday season, and the 2021-22 flu season, a convergence that could hamper efforts to roll out these new therapies.
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U.S. Capitol building, Washington D.C.

House members pushing MCIT as Cures 2.0 awaits committee action

Nov. 24, 2021
By Mark McCarty
A number of members of the U.S. House of Representatives have penned a letter to the Centers for Medicare & Medicaid Services (CMS) in support of the Medicare Coverage of Innovative Technology (MCIT) rule, the second time in recent weeks the agency has heard from Congress. The net effect of these letters is to suggest that Cures 2.0, which would provide Medicare coverage of breakthrough devices, is not on solid footing, which if true would suggest that the Biden administration’s Advanced Research Projects Agency for Health (ARPA-H) is similarly endangered.
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U.S. flag and money

Follow-up legislation to US 21st Century Cures Act reintroduced

Nov. 16, 2021
By Mark McCarty

Reps. Diana DeGette (D-Colo.) and Fred Upton (R-Mich.) have reintroduced Cures 2.0, legislation they said will increase access to live-saving cures and treatments for a variety of diseases such as Alzheimer’s disease.


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U.S. flag, stethoscope

CMS puts final nail in the MCIT coffin

Nov. 15, 2021
By Mark McCarty
The U.S. Centers for Medicare & Medicaid Services (CMS) finally laid to rest the rule for Medicare Coverage of Innovative Technology (MCIT), a policy proposal that found favor with industry and with several patient groups. However, the news comes shortly after a bipartisan group of 10 senators had penned a letter to the agency to reissue the rule, reinforcing the prospect that the MCIT proposal will find widespread support in the halls of Congress in 2022.
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Medicare puzzle

Ten US senators press CMS to resurrect rule for Medicare breakthrough device coverage

Nov. 9, 2021
By Mark McCarty
The U.S. Centers for Medicare & Medicaid Services (CMS) has withdrawn the proposal to provide automatic Medicare coverage of FDA breakthrough devices, but the proposal may not be as dead as it once seemed.
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U.S. flag, stethoscope

Stakeholders jeer Medicare physician fee final for 2022, but telehealth scores a win

Nov. 3, 2021
By Mark McCarty
The U.S. CMS waded into controversy with two final rules calendar year 2022, drawing fire from device makers and doctors who allege that cuts in rates for physicians will hamper beneficiary access. Software developers working in the telehealth space will find much to cheer, however, given that some telehealth services that were covered during the COVID-19 pandemic will be covered after the pandemic has passed.
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Kidneys

CMS makes first award under ESRD add-on payment program

Nov. 1, 2021
By Mark McCarty
The U.S. Center for Medicare & Medicaid Services (CMS) has made the first award to a product under an add-on payment for treatment of end-stage renal disease (ESRD) as part of the prospective payment schedule for calendar year 2022. Outset Medical Inc., of San Jose, Calif., snared the first of these novel add-on payments for medical technologies under the ESRD prospective payment system, but device makers working the ESRD space can expect to see many similar such awards in the years ahead.
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