Medtech Insight is part of Pharma Intelligence UK Limited

This site is operated by Pharma Intelligence UK Limited, a company registered in England and Wales with company number 13787459 whose registered office is 5 Howick Place, London SW1P 1WG. The Pharma Intelligence group is owned by Caerus Topco S.à r.l. and all copyright resides with the group.

This copy is for your personal, non-commercial use. For high-quality copies or electronic reprints for distribution to colleagues or customers, please call +44 (0) 20 3377 3183

Printed By


Clinical Lab And DME Payments Face Cuts Under Obama Budget

This article was originally published in The Gray Sheet

Executive Summary

The 2014 federal budget request submitted by President Obama April 10 includes proposals to cut clinical lab services and to limit Medicaid reimbursement for durable medical equipment, among other cuts that would affect the medtech industry.

You may also be interested in...

Obama Budget Seeks Prior-Authorization Ability For All Medicare Fee-For-Service Items

The administration’s March 4 budget request, repeats past attempts to expand prior-authorization requirements for power wheelchairs and advanced imaging, while also giving CMS the authority to institute prior-authorization for all Medicare fee-for-service items.

Reimbursement Briefs: OIG, CMS Address DME; Cigna Genetic Testing Policy Takes Effect

OIG released reports pressing for reduced Medicaid payments on DME. Meanwhile, CMS delayed again the face-to-face requirement for DME reimbursement and updated its oxygen supplier policy. A new policy at insurer Cigna took effect to require genetic counseling prior to genetic testing for certain conditions.

Lab Tests Face Revaluation, Cuts Under New CMS Proposals

CMS is proposing a comprehensive review process to ensure test payments account for changes in technology. The effort would likely lead to pay reductions in many instances to address new efficiencies in the lab. In addition, double-digit cuts in lab payments are proposed in the agency’s 2014 physician fee schedule draft.

Related Content


Latest Headlines
See All



Ask The Analyst

Ask the Analyst is free for subscribers.  Submit your question and one of our analysts will be in touch.

Your question has been successfully sent to the email address below and we will get back as soon as possible. my@email.address.

All fields are required.

Please make sure all fields are completed.

Please make sure you have filled out all fields

Please make sure you have filled out all fields

Please enter a valid e-mail address

Please enter a valid Phone Number

Ask your question to our analysts