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Medicare proposes ending expedited payment pathway for breakthrough medical devices

The Centers for Medicare & Medicaid Services (CMS) has proposed to eliminate a streamlined pathway for new medical technologies seeking supplemental Medicare payments. This alternative pathway, established in 2021, allowed devices with FDA Breakthrough Device designation to bypass a full substantial clinical improvement review. CMS now argues that many devices approved through this expedited route have not proven to offer significant clinical advantages in practice, leading to a reconsideration of the process. AI

RANK_REASON The cluster discusses a proposed regulatory change by a major government agency impacting the healthcare industry. [lever_c_demoted from significant: ic=1 ai=0.1]

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Medicare proposes ending expedited payment pathway for breakthrough medical devices

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  1. Forbes — Innovation TIER_1 English(EN) · Richard Menger MD MPA, Contributor ·

    Medicare Innovation At Risk? Patients And NTAP Breakthrough Technology

    How does Medicare approve technology for new patients? What is the alternative NTAP or New Technology Add-on Payment Pathway? And why does Medicare want to repeal it?