Aug. 23, 2023

The American College of Radiology® (ACR®) submitted comments in response to the Centers for Medicare and Medicaid Services (CMS) proposed Coverage with Evidence Development (CED) guidance document. ACR strongly supports updates to factors CMS considers in making National Coverage Determinations (NCDs) using the CED framework to provide more predictable and transparent evidence development. Additionally, CMS must ensure a clear pathway from CED to a coverage determination.

To encourage innovation and accelerate beneficiary access to new items and services, CMS published the proposed guidance document. CED provides an opportunity for beneficiaries to participate in medical research for promising treatments before there is adequate evidence for Medicare coverage under the reasonable and necessary statute. The proposed guidance describes the history of CED and establishes principles for CED studies that are supported by the Agency for Healthcare Research and Quality.

ACR participated in the February Medicare Evidence Development and Coverage Advisory Committee public meeting to examine general requirements for clinical studies submitted for CMS coverage under CED. The College will continue to track and monitor Medicare coverage activities.

If you have questions regarding NCDs, contact Alicia Blakey, ACR Principal Economic Policy Analyst.


Related ACR News

  • ACR Advocates Changes to Improve IPPS, OPPS

    ACR submitted official comments to the Centers for Medicare and Medicaid Services in response to the agency’s RFI related to the FY 2026 Hospital Inpatient Prospective Payment System.

    Read more
  • ACR Provides Recommendations About Fed Health Tech Programs

    The College’s feedback is in response to the government’s request for information regarding the health technology ecosystem.

    Read more
  • ACR Drives Results at June AMA House of Delegates Meeting

    The ACR team engaged in policy discussions, helping to shape the future of healthcare and ensure the voice of radiology is heard loud and clear.

    Read more