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CMS (Centers for Medicare and Medicaid Services) pass on pass-through sends issue to Congress

This article was originally published in Clinica

Executive Summary

The US medical device industry has begun working with key members of Congress to modify the way new technology is reimbursed under Medicare's outpatient prospective payment system. Industry officials told Clinica last week that they had no choice but to seek a legislative fix for the out-of-control costs of the so-called pass-through payment after the Centers for Medicare and Medicaid Services (CMS) postponed any action on the issue two weeks ago (see Clinica No 972, p 7).

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