Private Payors Not Swayed By Medicare Rx Requirement For COVID-19 Tests

By Chelsea Cirruzzo / September 4, 2020 at 12:34 PM
After CMS in August said it would begin requiring doctor’s orders for COVID-19 tests for Medicare beneficiaries after an initial test, several private insurers say they will keep their current practices. The main health insurance lobby, however, says it supports CMS’ new approach. On Aug. 25, CMS issued an interim final rule revising Medicare policy to cover only one COVID-19 test per beneficiary without a provider’s order and will require a doctor’s order for all further COVID-19 tests. Meanwhile, the...

Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.