Coalition for 21st Century Medicine Commends CMS for Issuing 2018 Preliminary Private Payor Rate-Based Payment Amounts for Clinical Diagnostic Laboratory Tests as Part of PAMA Implementation

On September 22, the Centers for Medicare & Medicaid Services (CMS) released its 2018 preliminary private payor rate-based payment amounts for clinical diagnostic laboratory tests. The preliminary rates are based on private payor rates reported by laboratories and are part of the market-based payment reforms enacted in Section 216 of the Protecting Access to Medicare Act of 2014 (PAMA).

Coalition for 21st Century Medicine Applauds FDA Decision to Wait to Publish Final LDT Guidance

Coalition of innovative diagnostic test manufacturers agrees that major implementation challenges with proposed regulatory policies should be resolved prior to implementation to avoid disruption of patient services Washington, D.C. – On November 18, 2016, officials from the U.S. Food & Drug Administration (FDA) communicated informally with key stakeholders, including the Coalition for 21st Century Medicine, … Continued

Coalition for 21st Century Medicine Seeks Reconsideration of Drastic Gapfill Cuts to Innovative Advanced Diagnostic Laboratory Tests

Final rates inconsistent with extensive pricing information submitted to MACs, and contrary to the goals of PAMA and the promotion of precision medicine Washington, D.C. – Today, the Centers for Medicare & Medicaid Services (CMS) released the 2016 Final Gapfill Payment Determinations for new CPT codes for a number of well-established, Medicare covered advanced diagnostic … Continued

Coalition for 21st Century Medicine Supports the PAMA Final Rule and Plans to Comment on the 2016 Preliminary Gapfill Determinations

Coalition’s message is to promote innovation in Advanced Diagnostic Laboratory Tests that improves patients’ outcomes Washington, D.C. – On June 17, the Centers for Medicare & Medicaid Services (CMS) released the final regulations to implement the new market based payment system for advanced diagnostic laboratory tests (ADLTs). The Coalition for 21st Century Medicine (C21) has … Continued