I-CMS iphakamisa indlela eya embozweni yangaphambilini yedivayisi

I-Dive Insight:
Abenzi bamadivayisi nabameli besiguli bebelokhu bephusha i-CMS ukuze ithole indlela esheshayo yokubuyiselwa kobuchwepheshe obusha bezokwelapha.Kuthatha iminyaka engaphezu kwemihlanu ukuthi ubuchwepheshe bezokwelapha buphumelele ukuthola usizo lwe-Medicare ngisho oluyingxenye ngemva kokugunyazwa yi-Food and Drug Administration, ngokocwaningo oluvela e-Stanford Byers Center for Biodesign e-Stanford University.

Isiphakamiso esisha se-CMS sihlose ukwenza lula ukufinyelela kwangaphambi kwesikhathi kwabazuzi be-Medicare kumadivayisi athile okuphumelela aqokwe yi-FDA ngenkathi kukhuthazwa ukuthuthukiswa kobufakazi uma kunezikhala.

Uhlelo lwe-TCET lufuna abakhiqizi ukuthi babhekane nezikhala zobufakazi ngezifundo eziklanyelwe ukuphendula imibuzo ethile.Ucwaningo olubizwa ngokuthi “lufanele injongo” luzobhekana nomklamo, uhlelo lokuhlaziya kanye nedatha efanele ukuphendula leyo mibuzo.

Lo mzila uzosebenzisa i-CMS' national coverage determination (NCD) kanye nokufakwa kwezinqubo zokuthuthukiswa kobufakazi ukusheshisa ukubuyiselwa kweMedicare kwemishini ethile eyimpumelelo, kusho le nhlangano.

Ngamathuluzi empumelelo endleleni entsha, umgomo we-CMS uwukuphothula i-TCET NCD phakathi nezinyanga eziyisithupha ngemva kokugunyazwa kwemakethe ye-FDA.I-ejensi ithe ihlose ukuba nalokhu kufakwa isikhathi eside kuphela ukuze kube lula ukukhiqizwa kobufakazi obungaholela ekunqumeni kwe-Medicare yesikhathi eside.

Indlela ye-TCET nayo izosiza ukuhlanganisa ukunqunywa kwesigaba senzuzo, ukubhala ngekhodi nokubuyekezwa kwezinkokhelo, kusho i-CMS.

U-AdvaMed's Whitaker uthe leli qembu liyaqhubeka nokweseka ukufakwa ngokushesha kobuchwepheshe obugunyazwe yi-FDA, kodwa waphawula ukuthi imboni kanye ne-CMS bahlanganyela umgomo ofanayo wokusungula inqubo esheshayo yokuhlanganisa “ngokusekelwe ebufakazini bomtholampilo obuzwakala ngokwesayensi obunokuvikela okufanele, kobuchwepheshe obusafufusa obuzozuzisa iMedicare. -iziguli ezifanele."

NgoMashi, izishayamthetho zeNdlu yase-US zethula Umthetho Wokuqinisekisa Ukufinyelela Kwesiguli Emikhiqizweni Ebalulekile Ozodinga i-Medicare ukuthi imboze okwesikhashana imishini yezokwelapha ephumelelayo iminyaka emine ngenkathi i-CMS ithuthukisa ukuzimisela okungapheli.

I-CMS ikhiphe imibhalo emithathu yeziqondiso ehlongozwayo mayelana nendlela entsha: Ukufakwa Kokuthuthukiswa Kobufakazi, Ukubukezwa Kobufakazi kanye Nesiqondiso Samaphuzu Okuphela Komtholampilo We-Knee Osteoarthritis.Umphakathi unezinsuku ezingama-60 zokuthi uphawule ngalolu hlelo.

(Izibuyekezo ezinesitatimende esivela ku-AdvaMed, isizinda somthetho ohlongozwayo.)