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The US Government Accountability Office (GAO) published a report, “CMS Should Evaluate Providing Coverage for Disposable Medical Devices That Could Substitute for Durable Medical Equipment” at http://medgroup.biz/CMS-disp
GAO identified eight potential substitutes for covered durable medical equipment (DME) including infusion pumps, blood glucose monitors, sleep apnea devices, and nebulizers.
Health and Human Services (HHS) gave them a chicken-and-egg response.
“As only Congress has the authority to create new benefit categories and payment systems for these items… it is premature for HHS to conduct a formal study on all possible devices that could potential substitute for DME.”
My interpretation: What’s the point of the study if Congress hasn’t created new categories yet?
To which GAO replied (my words): Because Congress won’t act unless you present the case for it!
With whom do you side, GAO or HHS?
And to our discussion today, are you aware of innovations that go undeveloped because they might not get reimbursed?
What can we, as an industry, do about it?
COMBINATION PRODUCT DESIGN
It discusses why you need to digitalize your products, benefits healthcare apps can provide, and hurdles you’re likely to face.
Give it a look at http://medgroup.biz/combo
Make it a great week.
P.S. I discovered the Hamilton soundtrack this week and am obsessed with it. Give a listen. http://medgroup.biz/Hamilton
It seems to me that HHS was a little disingenuous in its reference to “all possible devices,” when the GAO listed only eight. Wouldn’t it be a reasonable compromise to do an initial study involving a limited number of devices, and see if the results warrant studying more?
Robert Weiss, MS
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