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Re: [IP] Re:(IP) Medicare-Dexcom-Smartphones



Believe me, if they ever let it go through, someone will demand that
Medicare pay for their smartphone as if it were an essential part of what
they need to control their BG's and their pump and to read their CGM from.

On Sun, Aug 27, 2017 at 5:00 PM, Pam Brown <
email @ redacted> wrote:

> I few months I sat in on a conference call that CMS had about the new
> coverage
> for the Dexcom. When they said that the smartphone app couldn't be used
> even
> as a secondary monitor, a bunch of people including a very articulate guy
> from
> JDRF challenged that premise and tried to explain why that made no sense.
> The
> CMS guy just kept repeating the same thing about smart phones not being DME
> and only DME and supplies related to it were allowed to be covered by
> Medicare. He kept reading some language from the statute about DME and
> saying
> that using anything at all in conjunction with DME devices that wasn't a
> DME
> item itself or part of the original bundle would invalidate the entire
> device
> being considered DME. Everyone kept saying that no one would expect
> Medicare
> to pay for the smartphone. The guy was clearly stuck in his bureaucratic
> role
> and couldn't get past that. I'm sure that Dexcom, JDRF and others are
> lobbying
> like crazy to make CMS understand, so hopefully one day the smartphone app
> will be allowed. Pam
>
> <Maybe someone can explain this to me.I don't get the smartphone
> restriction.Dothey think that PWD's with CGM's are gonna expect Medicare to
> pay for their
> smartphones?I mean, the connection doesn't cost anything. It goes against
> common
> sense.I understand that a person can't expect Medicare to pay for a smart
> phone,
> but not to allow use of an app?>
> .
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