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Report: Unmet Need Can Trump Modest Data In Quest For Reimbursement

This article was originally published in The Gray Sheet

Executive Summary

A higher level of evidence did not correlate well with subsequent payer reimbursement, according to a comparison of the coverage success for devices approved via HDE and PMA conducted by Avalere Health for the Pew Charitable Trusts. Perceptions of unmet need tended to serve a bigger factor for coverage, the report said.

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