STAT July 25, 2024
Medicare regulators’ proposal to start paying for some digital therapeutics products created a wave of enthusiasm when it was released earlier this month. Developers of software designed to treat medical conditions have struggled for a foothold in health care in part owing to challenges with reimbursement. So, getting the Centers for Medicare and Medicaid Services to pay for digital treatments is viewed as a pivotal milestone. Comments from key stakeholders about the Medicare proposal probably won’t start showing up in the docket for a few more weeks, but I’ve heard from many industry insiders.
To review, the proposed codes cover FDA-cleared digital mental health treatments that are furnished to patients by providers as part of ongoing behavioral health treatment. The...