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IV Insulin Supporters Argue For Coverage On Basis Of Cost Effectiveness

This article was originally published in The Gray Sheet

Executive Summary

Advocates of outpatient intravenous insulin treatment for diabetics argue it can help prevent the onset of debilitating conditions and delay the need for more expensive therapies, such as dialysis

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Outpatient IV insulin

CMS releases decision memo Dec. 23 ordering national non-coverage of outpatient intravenous insulin treatments, writing that the evidence does not support it as a reasonable and necessary service for diabetic Medicare patients. CMS opened a coverage analysis on the intermittent adjunct therapy last March (1"The Gray Sheet" March 30, 2009). Supporters claim the treatment can help prevent the onset of debilitating conditions and delay the need for more expensive therapies, such as dialysis (2"The Gray Sheet" May 4, 2009)

Outpatient IV insulin

CMS releases decision memo Dec. 23 ordering national non-coverage of outpatient intravenous insulin treatments, writing that the evidence does not support it as a reasonable and necessary service for diabetic Medicare patients. CMS opened a coverage analysis on the intermittent adjunct therapy last March (1"The Gray Sheet" March 30, 2009). Supporters claim the treatment can help prevent the onset of debilitating conditions and delay the need for more expensive therapies, such as dialysis (2"The Gray Sheet" May 4, 2009)

Outpatient IV Insulin Therapy Evidence Doesn't Warrant Coverage, CMS Says

Evidence supporting outpatient intravenous insulin therapy as an adjunctive diabetes treatment is insufficient to justify Medicare coverage, CMS says in a Sept. 25 proposed decision memo

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