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Coverage & Payment

Learn more about our Payment & Health Care Delivery Policy work.

Coverage & Payment / Legal / Value-Based Collaborations

Dec. 31, 2019 AdvaMed® Comments on CMS Value-Based Physician Self-Referral Exception Proposed Rules

Coverage & Payment / Diagnostics

Reps. Peters, Bilirakis, Pascrell, Schrader, Holding and Hudson Introduce Bipartisan Legislation to Protect Seniors’ Lab Benefits, Improve Data Reporting Under PAMA

LAB Act (H.R. 3584) would delay PAMA reporting period in order to improve data collection process for market-based rates   WASHINGTON, D.C. — With 53 million Americans facing steep year-over-year cuts…

Coverage & Payment

Coverage Overview and Best Practices Guide

This presentation is a detailed overview describing the coding system and guidelines for device manufacturers seeking CMS coverage.

Coverage & Payment

Coding Overview and Best Practices Guide

This presentation provides essential information for device manufacturers to consider concerning coverage and payment.

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Coverage & Payment / Radiation Therapy

Use Case: Application Of The Medtech Value Assessment Framework To Stereotactic Body Radiation Therapy For Non-Small Cell Lung Cancer (SBRT)

This use case examines SBRT as a viable alternative for the treatment of patients with non-small cell lung cancer.

Coverage & Payment / Legal

Brief of the Advanced Medical Technology Association® as Amicus Curiae in Support of Plaintiff’s Motion for Summary Judgement

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Coverage & Payment / Value-Based Collaborations

Medical Technology in the Value-Based Environment: An Assessment of Quality Measure Gaps

This white paper explores the impact of quality measure gaps for conditions and procedures treated through innovative medical technology. The paper identifies opportunities to fill critical gaps and improve measure…

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Coverage & Payment

Use Case: Application of the Medtech Value Assessment Framework to Cymedica’s e-vive™ System

This use case demonstrates the value of the CyMedica e-vive™ system technology across all of the identified value drivers and for a range of stakeholders.

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Coverage & Payment

Use Case: Application of the Comprehensive Assessment of the Value of Diagnostic Technologies Framework to Abbott’s 4th Generation ARCHITECT HIV Antigen/Antibody Combo Test

This use case demonstrates the value of Abbott’s 4th generation ARCHITECT HIV Antigen/Antibody combo (ARCHITECT HIV Ag/Ab Combo) test across all of the identified value drivers and for a range…

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Coverage & Payment

Use Case: Application of the Comprehensive Assessment of the Value of Diagnostic Technologies Framework to Exact Sciences Cologuard Multi-target sDNA Test

This use case demonstrates the value of Exact Sciences’ Cologuard test across all of the identified value drivers and for a range of stakeholders.

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