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May 18, 2022  
ADVOCACY CENTER: Contact Congress

The Los Angeles Times reported recently that the Department for Health and Human Services is considering making substantial cuts in Medicare reimbursement for high-tech drugs, devices, and biologics in the hospital outpatient setting – a move which some medical experts warn could force patients into the more costly, inconvenient inpatient setting.
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Contact Congress
Write your Congressperson! Do a quick search on this database to find the names of your Congressional Representative and Senators. Then, with the click of a button, send any or all of them email on the medical technology issues you care about.

To look up your congressional representatives and send them email regarding this issue, enter your zip code below and click "Go". This service is provided courtesy of AdvaMed.

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Medicare must act fast to ensure continued patient access to innovative outpatient treatments

Television and newspaper reports across the country this week highlighted new problems that Medicare patients could face in gaining access to advanced treatments in the hospital outpatient setting. Medicare announced in an Aug. 20 proposed rule that it could make potentially deep cuts in outpatient payment for new technologies. This "could mean that millions of Medicare patients might stay in the hospital [overnight] unnecessarily," the Los Angeles Times reported. The Centers for Medicare and Medicaid Services, which runs Medicare, must work quickly to fix problems in its outpatient payment program and avoid deep cuts that would threaten patient access.

Medicare Proposal Will Reverse Gains in Delivery of High-Quality, Cost-Effective Outpatient Care

CMS must act quickly to preserve Medicare patients' access to innovative outpatient treatments.
  • CMS says in the proposed rule that it will examine alternative approaches to avoid making deep cuts in outpatient payments for new technology to treat a wide range of conditions such as coronary artery disease, heart rhythm disorders, cancer, diabetes, arthritis and cataracts. However, it offers scant information on the specific steps it will take. ·
  • CMS must act soon to describe publicly and implement fully the changes needed to avoid deep outpatient payment cuts and ensure that Medicare's 40 million patients can continue to receive advanced medical treatments in this cost-effective setting.


To Senators:
The Honorable (full name)_____________
United States Senate
Washington, DC 20510

To Representatives:
The Honorable (full name)____________
United States House of Representatives
Washington, DC 20515

Dear Senator/Representative (last name):

I am writing to express my concern over the potential for significant payment cuts in “pass-through” payments for new technologies used in the hospital outpatient setting, which were announced by the Centers for Medicare and Medicaid Services on August 20.

I am deeply concerned that if these cuts are implemented, many Medicare patients will have to stay at the hospital overnight as an inpatient – and pay higher out of pocket deductibles – in order to receive these newer treatments. These cuts would affect a wide range of patients with diseases and conditions such as cancer, heart disease, diabetes and arthritis.

I urge you to work closely with CMS to stop any pass-through payment cuts and pursue alternative approaches. CMS should announce quickly the steps it plans to take to avoid payment cuts and preserve patient access.

Thank you for your commitment to quality, advanced medical care for America’s seniors and people with disabilities, and for taking the time to hear my concerns.


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