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CMS Clarifies Criterion To Evaluate New Tech Add-On Payments In Inpatient Rule

 
• By Sue Darcey

The US Medicare agency revised and clarified its policies on how it evaluates new technology add-on payments and highlighted its new policy on payments for FDA-approved breakthrough devices, in a final 2020 Inpatient Prospective Payment System (IPPS) rule released on 5 August.

An image of a nice clock with time for new technology - Illustration
CMS made some important revisions to the way it evaluats new technology add-on payments in a new IPPS rule

The US Centers for Medicare and Medicaid Services (CMS) codified an alternative new technology add-on payment (NTAP) pathway for Food and Drug Administration-approved breakthrough devices, while updating “substantial clinical improvement” NTAP review policies, in a new Inpatient Prospective Payment System (IPPS) rule.

The changes were made to incentivize creation of new technologies to treat Medicare beneficiaries, and better help device and diagnostic...

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