Proposed Medicare Rule Would Amplify CGM Protection
A novel proposed rule from the Centers for Medicare & Medicaid Companies and products (CMS) would develop protection for accurate glucose displays (CGMs) below Medicare to incorporate devices that need to no longer popular for making remedy choices.
If accredited, the proposed rule would classify all popular CGMs as sturdy medical equipment below Medicare Fraction B and repair cost amounts for all linked affords. The poke basically impacts Medtronic’s Guardian Join Gadget, which has no longer been popular by the U.S. Meals and Drug Administration to interchange the need for fingersticks in determining insulin or varied glucose-lowering medication dosing.
Two varied CGM programs, the Dexcom G6 and Abbott Libre, have “therapeutic” indications and are, attributable to this truth, already covered below Medicare, as is the mixed insulin pump–CGM Tandem Diabetes Care Control-IQ Technology device.
In step with a CMS issue, “CGMs that need to no longer popular to be used in making diabetes remedy choices would be ragged to alert beneficiaries about doubtlessly terrible glucose stages whereas they sleep and that they wish to serene further test their glucose stages the usage of a blood glucose video display. … This proposal would give Medicare beneficiaries and their physicians a significant wider vary of know-how and devices to make a choice from in managing diabetes.”
Sean Salmon, govt vice president and president of the Diabetes Community at Medtronic said in an interview that the corporate is “very encouraged” by the proposal. “Importantly, the proposed rule would enable continuity of remedy for other folks on Medtronic insulin pumps getting previous into Medicare – along side Medtronic hybrid closed loop programs, which robotically adjust insulin provide based entirely mostly on readings from the constructed-in CGM.”
The kind 1 diabetes be taught and advocacy group JDRF also applauded the proposed rule, noting in an announcement, “CGM know-how would be an integral factor of man made pancreas programs and important by itself to vastly make stronger diabetes management and enable users to steer obvious of capacity crises and risks for prolonged-time length problems. JDRF is heartened by this proposed change as it has prolonged advocated for protection, affordability and quantity of all therapies to assist guarantee other folks with T1D have what they deserve to survive.”
The proposal is fragment of a broader region of proposed adjustments to Medicare Durable Scientific Equipment, Prosthetics, Orthotic Devices and Gives (DMEPOS) protection and cost insurance policies. Feedback on the full characterize would be submitted thru Jan. 4, 2021 to the Federal Register.
This article originally regarded on MDedge.com, fragment of the Medscape Legitimate Network.