Diagnostics Reimbursement Reform Bill Introduced

Legislation that could improve patient access to diagnostic tools has been introduced in Congress, according to an AdvaMed release. The bill would update and modernize Medicare reimbursement policies for laboratory testing. It would establish a pilot program to test a new payment system for molecular diagnostics -- which did not exist when the current system was implemented.

December 5, 2007

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It would also set up an appeals process to correct "historic errors," and take other steps to make the coverage process more transparent.The diagnostics industry has been clamoring for something like this for years, and for good reason, as diagnostics account for less than 2% of healthcare costs, yet influence as much as 70% of medical decisions. So this bill, sponsored in the Senate by Sen. Charles Schumer (D-NY) and in the House by Reps. Bobby Rush (D-IL), Michael Ferguson (R-NJ), Mike Thompson (D-CA), and Phil English (R-PA), sounds like a great idea. It could counter some of the shortsighted legislation passed in recent years that has restricted access to diagnostics.

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