Public Health Impact of the Centers for Medicare and Medicaid Services Decision on Pass-Through Add-On Payments for Drug-Coated Balloons A Call to Action Article

Full Text via DOI: 10.1016/j.jcin.2018.01.233 PMID: 29519384 Web of Science: 000427426400015

Cited authors

  • Shishehbor, Mehdi H.; Jaff, Michael R.; Beckman, Joshua A.; Misra, Sanjay; Schneider, Peter A.; Lookstein, Robert; Kashyap, Vikram S.; Aronow, Herbert D.; Jones, William Schuyler; White, Christopher J.


  • On Wednesday, November 1, 2017, the Centers for Medicare and Medicaid Services (CMS) made a public decision to end the transitional pass-through add-on payment for drug-coated balloons beginning January 1, 2018, without creating a new ambulatory payment classification rate for these devices. In this Viewpoint, the authors highlight the disconnect between the CMS's decision not to create a new ambulatory payment classification category for drug-coated balloons despite demonstrated clinical superiority. The authors believe this decision is more in line with a rigid fee-for-service payment system than a value-based system that encourages quality over quantity, and disadvantages both the elderly and the poor. They call on all who advocate for patients with peripheral artery disease to action, encouraging their engagement on CMS decisions regarding payment. (c) 2018 by the American College of Cardiology Foundation.

Publication date

  • 2018

Published in

International Standard Serial Number (ISSN)

  • 1936-8798

Start page

  • 496

End page

  • 499


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