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Local Coverage With Evidence Development Is Legit, CMS Says; But It May Be Rare

This article was originally published in The Gray Sheet

Executive Summary

CMS issued its final guidance on the coverage-with-evidence-development program, two years following a draft. It is explicit that local Medicare contractors can employ CED in setting coverage policies in their jurisdictions, but it is not clear that the language will encourage significant use at the local level. The guidance also revises its approach on ending CED policies compared to what was stated in the 2012 draft guidance.

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