By Caroline Reignley, Deborah Godes, Michael Ryan, Dale C. Van Demark, Marshall E. Jackson, Jr. and Abby Higgins on Jul 12, 2023
Posted In Digital Health, Employee Benefits, Health and Welfare Plans
On May 19, 2023, Novitas Solutions and First Coast Options sent an email to certain interested parties, with whom they had engaged following the multijurisdictional contractor advisory committee (CAC) meeting, explaining that they have decided to not pursue at this time a local coverage determination for remote physiological monitoring (RPM) and remote therapeutic monitoring (RTM)....
By Deborah Godes on Aug 3, 2021
Posted In Employee Benefits, Health and Welfare Plans
Clinical laboratories continue to face challenges to obtain positive coverage decisions by government and private payers for new tests. According to McDermott+Consulting Senior Director Deborah Godes, payers require reasons to establish new coverage assays. “[The] key to getting a positive coverage decision from payers is making a solid case through good quality evidence,” Godes notes...