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Abbott Receives Expanded Medicare Reimbursement for First-Of-Its-Kind MitraClip™ Device

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ABBOTT PARK, Ill., Jan. 20, 2021 /PRNewswire/ Abbott (NYSE: ABT) today announced that the U.S. Centers for Medicare & Medicaid Services (CMS) revised its National Coverage Determination (NCD) to expand coverage for transcatheter edge-to-edge repair (TEER), also referred to as transcatheter mitral valve repair (TMVr), to include patients with secondary (or functional) mitral regurgitation (MR) resulting from heart failure. The decision significantly increases the number of people eligible for insurance coverage for mitral valve repair with MitraClip, enabling broader access to the device. As the first and only TEER device approved by the U.S. Food and Drug Administration (FDA) and reimbursed by Medicare for primary mitral regurgitation, physicians have increasingly relied on the therapy to improve survival and quality of life for their patients. Today s decision improves insurance coverage for people with secondary MR who need treat ....

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Medicare Expands Coverage for MitraClip in Heart Failure Patients

Medicare Expands Coverage for MitraClip in Heart Failure Patients
New national reimbursement significantly expand access to transcatheter mitral valve repair procedures for secondary mitral regurgitation
January 20, 2021 The U.S. Centers for Medicare and Medicaid Services (CMS) revised its National Coverage Determination (NCD) to expand coverage for the Abbott MitraClip to include patients with secondary (or functional) mitral regurgitation (MR) resulting from heart failure.
The procedure is known as transcatheter edge-to-edge repair (TEER), but is also referred to as transcatheter mitral valve repair (TMVR).
The CMS decision significantly increases the number of people eligible for insurance coverage for mitral valve repair with MitraClip, enabling broader access to the device. As the first TEER device approved by the U.S. Food and Drug Administration (FDA) and reimbursed by Medicare for primary mitral regurgitation, physicians have increasingly relied on the th ....

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Abbott Receives Expanded Medicare Reimbursement for First-Of-Its-Kind MitraClip Device

Abbott Receives Expanded Medicare Reimbursement for First-Of-Its-Kind MitraClip Device
Abbott today announced that the U.S. Centers for Medicare & Medicaid Services revised its National Coverage Determination to expand coverage for transcatheter edge-to-edge repair also referred to as transcatheter mitral valve repair to include patients with secondary mitral regurgitation resulting from heart failure. The decision significantly increases the number of people eligible for insurance coverage for …
– Abbott (NYSE: ABT) today announced that the U.S. Centers for Medicare & Medicaid Services (CMS) revised its National Coverage Determination (NCD) to expand coverage for transcatheter edge-to-edge repair (TEER), also referred to as transcatheter mitral valve repair (TMVr), to include patients with secondary (or functional) mitral regurgitation (MR) resulting from heart failure. The decision significantly increases the number of people eligible for insurance coverage for m ....

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CMS Issues 2021 MPFS and QPP Final Rule | Holland & Knight LLP

Highlights
The Centers for Medicare & Medicaid Services (CMS) has published the Calendar Year (CY) 2021 Final Rule for the Medicare Physician Fee Schedule (MPFS), which contains updates to the Quality Payment Program (QPP). The MPFS dictates Medicare rates and policies under Part B, while the QPP implements two value-based payment programs: the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).
Among notable changes, CMS has proposed to make permanent certain telehealth changes that have been implemented in response to the COVID-19 public health emergency (PHE), confirmed the evaluation and management (E/M) documentation guidelines and payment changes finalized in the 2020 MPFS, and delayed the MIPS Value Pathway (MVP) until the 2022 performance period or later. ....

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