State laws mandating clinical trial reimbursement Free xxx web cam movie

The Inspector General urged HCFA to recover these "overpayments" from the hospitals (Hartwig, 1996).

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In some cases payment is limited to routine care, and in others it includes paying for the investigational intervention itself.

Clearly, official policy and common practice and understanding do not always match in reimbursement for patient care costs in clinical trials.

The clearest indication that routine patient care still is not considered reimbursable in trials other than those involving devices is found in a 1997 report by the General Accounting Office (GAO, 1997) on reimbursement by HCFA for Medicare beneficiaries in cancer clinical trials.

GAO found that reimbursement was, indeed, occurring without HCFA's knowledge (the specific findings are presented later in this chapter).

I would like to emphasize that HCFA was clear from the start about its policy regarding both coverage of investigational devices as well as any related services.

To provide an example of how the policy was designed to work—if a hospital admission was solely for the purpose of implanting an investigational device, no payment would be made for the hospital stay.

In this chapter, we have pieced together as complete a picture as possible of how, and the extent to which, the costs of treating people in clinical trials are actually covered.

Notwithstanding any other provisions of this title, no payment may be made for items or services which are not reasonable and necessary for the diagnosis and treatment of illness or injury or to improve the functioning of a malformed body member.

There is, however, one type of trial for which HCFA has issued explicit guidance: routine care in trials involving certain investigational medical devices became eligible for reimbursement under Medicare in 1995.

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