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TAVR Gets Love, MitraClip Gets None In Medicare Inpatient Proposal

CMS proposes to grant new hospital inpatient payment categories for transcatheter valve replacements, a potential boon to Edwards’ and Medtronic’s devices. But the Medicare agency continues to stand firm against upgrading payment levels for Abbott’s MitraClip percutaneous mitral valve repair procedure.

CMS is convinced that the transcatheter valve replacement procedure deserves its own special place in the Medicare payment system, while transcatheter mitral valve repair should stay put in its lower-paying reimbursement category.

The Medicare agency issued its fiscal year 2015 hospital inpatient prospective payment system proposed rule on April 30. In it, CMS accepts a request by Edwards Lifesciences...

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