Medicare Bonus Payments: CMS Plans To End Three, But Considers Seven New-Tech Add-On Payments For FY 2019

While the US Medicare agency is proposing to end hospital inpatient new-technology add-on payments for Edwards Lifesciences’ and LivaNova’s minimally surgical valves, and for WL Gore's endoprosthesis aneurysm device, it is evaluating possible bonus payments for 7 more devices beginning Oct. 1.

Medicare, Health Concept

The US Centers for Medicare and Medicaid Services said it plans to stop new technology add-on payments for two minimally invasive prosthetic aortic valves and an endoprosthesis device for peripheral aneurysms in its recently-released inpatient prospective payment system (IPPS) proposed rule. Meanwhile, the agency is considering whether to add the bonus payments for seven other devices, including a stroke-protection device for transcatheter aortic valve procedures, a nerve stimulator to treat sleep apnea patients, and a nanotechnology-based interbody device used to treat patients with degenerative disk disease, among others. But none of them appear to be a sure thing based on comments in the proposed rule.

The table below summarizes FY 2018 new-tech add-on payments CMS proposed

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