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Medicare CAR-T Payment Policy Walks Line Between Innovation and Cost Concerns

 
• By Cathy Kelly

CMS proposes new DRG with higher average payment rate for CAR-T therapy but signals new technology add-on payments will no longer be awarded to supplement reimbursement. 

Slacklining is a practice in balance that typically uses nylon or polyester webbing tensioned between two anchor points. Tight rope walk
CMS Balances Competing Interests In Medicare IPPS

The Centers for Medicare and Medicaid Services balances support for innovation with controlling costs in its latest policy on Medicare reimbursement for chimeric antigen receptor T-cell (CAR-T) therapies.

The agency announced plans to establish a new Medicare diagnosis severity related group (MS-DRG) category specifically for CAR-T treatments in 2021 in the Medicare hospital inpatient prospective payment system

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