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SACGHS Considers NCD, Inherent Reasonableness For Genetic Testing

This article was originally published in The Gray Sheet

Executive Summary

HHS Secretary Michael Leavitt should encourage CMS to address disparities between payment rates and actual costs of genetic tests, the Secretary's Advisory Committee on Genetics, Health & Society recommended Feb. 28

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Public remarks concerning the HHS Secretary's Advisory Committee on Genetics, Health & Society's draft report on coverage and reimbursement of genetic tests and services are due May 6. In March, SACGHS recommended that HHS Secretary Michael Leavitt invoke "inherent reasonableness" authority, allowing an increase in payment rates for genetic tests (1"The Gray Sheet" March 7, 2005, p. 17)...

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