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Coverage & Payment

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

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Coverage & Payment

AdvaMed® Responds to HHS Office of the National Coordinator Request for Information on Electronic Prior Authorization Standards

AdvaMed® submitted a response to a Department of Health and Human Services (HHS) Office of the National Coordinator for Health Information Technology (ONC) Request for Information (RFI) on electronic prior…

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Coverage & Payment

AdvaMed® Responds to U.S. House of Representatives Health Futures Task Force, Subcommittee on Treatments Request for Information on Fostering Patient Access to Life-Saving Cures

AdvaMed® submitted a response to a U.S. House of Representatives Healthy Futures Task Force, Subcommittee on Treatments (Subcommittee on Treatments) Request for Information (RFI) on information to help foster patient…

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Coverage & Payment

AdvaMed® Advocates for Skin Substitute Coding and Coverage Policy Changes in Advance of Annual Rulemaking

AdvaMed® submitted a letter to the Centers for Medicare and Medicaid Services (CMS) regarding coverage and payment policies for skin substitute products as used and paid for in the outpatient…

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Coverage & Payment

AdvaMed® Advocates for Policy Updates in Advance of Annual Rulemaking on End-Stage Renal Disease Payment

In advance of CMS’ release of the proposed End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) rule, AdvaMed® submitted a letter focused on coverage and payment policies for ESRD patients.

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Coverage & Payment

AdvaMed® Comments on Advance Notice of Medicare Advantage Capitation Rates and Part C and D Payment Policies

AdvaMed® submitted comments on the Centers for Medicare and Medicaid Services’ Advance Notice of Methodological Changes for Calendar Year 2023 for Medicare Advantage Capitation Rate and Part C and Part…

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Coverage & Payment

AdvaMed® Responds to U.S. House of Representatives Health Futures Task Force, Modernization Subcommittee Request for Information on Utilization of Wearable Technologies and Digital Modernization

AdvaMed® submitted a response to a U.S. House of Representatives Healthy Futures Task Force, Modernization Subcommittee (the Modernization Subcommittee) Request for Information (RFI) on the utilization of wearable technologies, expansion…

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Coverage & Payment

AdvaMed® Advocates for Policy Updates in Advance of Annual Rulemaking on Physician Payment

AdvaMed® submitted a letter to the Centers for Medicare and Medicaid Services (CMS) regarding coverage and payment policies addressed under the Physician Fee Schedule (PFS) in anticipation of upcoming Calendar…

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Coverage & Payment

AdvaMed® Advocates for Policy Updates in Advance of Annual Rulemaking on Hospital Outpatient and Ambulatory Surgical Center Payment

In advance of annual rulemaking, AdvaMed® submitted a letter to the Centers for Medicare and Medicaid Services (CMS) regarding coverage and payment policies addressed under the Hospital Outpatient Prospective Payment…

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Coverage & Payment

AdvaMed® Advocates for Policy Updates in Advance of Annual Rulemaking on Hospital Inpatient Payment

In advance of annual rulemaking, AdvaMed® submitted a letter to the Centers for Medicare and Medicaid Services (CMS) regarding coverage and payment policies addressed under the Hospital Inpatient Prospective Payment…

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Coverage & Payment

AdvaMed® Responds to CMS Request for Information on Health and Safety Requirements for Transplant Programs, Organ Procurement Organization, and End-Stage Renal Disease Facilities

AdvaMed® submitted a response to a Centers for Medicare and Medicaid Services (CMS) Request for Information (RFI) on potential changes to the requirements transplant programs, organ procurement organizations, and end-stage…

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