ARTICLE
12 October 2021

CMS Proposes Rule To Rescind Coverage Of "Breakthrough" Medical Technologies

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Riker Danzig LLP

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Riker Danzig LLP has served the business community for 140 years, with offices in Morristown and Trenton, New Jersey and in Midtown Manhattan. Riker Danzig is regional counsel, national defense counsel, and deal counsel to clients ranging from Fortune 500 corporations to middle-market businesses.
As expected, the Centers for Medicare & Medicaid Services ("CMS") released a proposed rule, 86 FR 51326, rescinding coverage of medical technologies that the Food and Drug Administration ("FDA")...
United States Food, Drugs, Healthcare, Life Sciences

As expected, the Centers for Medicare & Medicaid Services ("CMS") released a proposed rule,  86 FR 51326, rescinding coverage of medical technologies that the Food and Drug Administration ("FDA") designates as "breakthrough," as set forth in the Medicare Coverage of Innovative Technology (the "MCIT") final rule on January 12, 2021.  The rescission is hardly surprising, given CMS's delay of the final rule, first in March 2021, and then in May 2021.  The proposed rule cites safety concerns and availability of clinical evidence on the benefits or risks of breakthrough devices as reasons for withdrawal of the MCIT final rule.  Comments on CMS's proposal to withdraw the MCIT final rule are due on October 15, 2021.

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