Payment & Health Care Delivery Policy
AdvaMed’s Payment & Health Care Delivery Policy department develops and advocates for policies to ensure and expand patient access to medical technologies by improving coverage, coding, and payment processes used by Medicare and, in certain instances, commercial payers.
Food and Drug Administration approval of medical technologies for use in health care delivery is only one step in ensuring that patients have access to life-saving technologies used in a wide-range of medical procedures and services. These technologies and associated services must also be covered by health care plans. As the nation’s largest single insurer, the Medicare program and its coverage and reimbursement policies play a central role in making these technologies available to Medicare beneficiaries and patients generally.
AdvaMed’s Payment & Health Care Policy Department works with Medicare officials to improve coverage and payment policies for the broad array of medical technologies. The Payment Department develops its positions to respond to specific Medicare-related issues that arise through proposed rules issued annually by Medicare for major benefit categories, such as inpatient hospital care and physician services, or in anticipation of issues emerging related to coverage, coding, and reimbursement. AdvaMed’s positions on these topics are shaped by a variety of different work groups organized by Medicare’s benefit categories or broader areas such as digital health technologies, radiation therapy, and diabetes technologies. The Payment Department also undertakes research projects to develop reports on the role and contributions of the medical device industry to the health of patients.