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What's Wrong with This Picture? A Critical Review of Current Centers for Medicare & Medicaid Services Coverage Criteria for Continuous Glucose Monitoring

Numerous studies have demonstrated the clinical value of continuous glucose monitoring (CGM) in type 1 diabetes and type 2 diabetes populations. However, the eligibility criteria for CGM coverage required by the Centers for Medicare & Medicaid Services (CMS) ignore conclusive evidence that suppo...

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Autores principales: Galindo, Rodolfo J., Parkin, Christopher G., Aleppo, Grazia, Carlson, Anders L., Kruger, Davida F., Levy, Carol J., Umpierrez, Guillermo E., McGill, Janet B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8501458/
https://www.ncbi.nlm.nih.gov/pubmed/33844588
http://dx.doi.org/10.1089/dia.2021.0107
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author Galindo, Rodolfo J.
Parkin, Christopher G.
Aleppo, Grazia
Carlson, Anders L.
Kruger, Davida F.
Levy, Carol J.
Umpierrez, Guillermo E.
McGill, Janet B.
author_facet Galindo, Rodolfo J.
Parkin, Christopher G.
Aleppo, Grazia
Carlson, Anders L.
Kruger, Davida F.
Levy, Carol J.
Umpierrez, Guillermo E.
McGill, Janet B.
author_sort Galindo, Rodolfo J.
collection PubMed
description Numerous studies have demonstrated the clinical value of continuous glucose monitoring (CGM) in type 1 diabetes and type 2 diabetes populations. However, the eligibility criteria for CGM coverage required by the Centers for Medicare & Medicaid Services (CMS) ignore conclusive evidence that supports CGM use in various diabetes populations that are currently deemed ineligible. This article discusses the limitations and inconsistencies of the CMS eligibility criteria relative to current scientific evidence and proposes workable solutions to address this issue and improve the safety and care of all individuals with diabetes.
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spelling pubmed-85014582021-10-12 What's Wrong with This Picture? A Critical Review of Current Centers for Medicare & Medicaid Services Coverage Criteria for Continuous Glucose Monitoring Galindo, Rodolfo J. Parkin, Christopher G. Aleppo, Grazia Carlson, Anders L. Kruger, Davida F. Levy, Carol J. Umpierrez, Guillermo E. McGill, Janet B. Diabetes Technol Ther Commentary Numerous studies have demonstrated the clinical value of continuous glucose monitoring (CGM) in type 1 diabetes and type 2 diabetes populations. However, the eligibility criteria for CGM coverage required by the Centers for Medicare & Medicaid Services (CMS) ignore conclusive evidence that supports CGM use in various diabetes populations that are currently deemed ineligible. This article discusses the limitations and inconsistencies of the CMS eligibility criteria relative to current scientific evidence and proposes workable solutions to address this issue and improve the safety and care of all individuals with diabetes. Mary Ann Liebert, Inc., publishers 2021-09-01 2021-09-01 /pmc/articles/PMC8501458/ /pubmed/33844588 http://dx.doi.org/10.1089/dia.2021.0107 Text en © Rodolfo J. Galindo, et al., 2021; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by/4.0/This Open Access article is distributed under the terms of the Creative Commons License [CC-BY] (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Commentary
Galindo, Rodolfo J.
Parkin, Christopher G.
Aleppo, Grazia
Carlson, Anders L.
Kruger, Davida F.
Levy, Carol J.
Umpierrez, Guillermo E.
McGill, Janet B.
What's Wrong with This Picture? A Critical Review of Current Centers for Medicare & Medicaid Services Coverage Criteria for Continuous Glucose Monitoring
title What's Wrong with This Picture? A Critical Review of Current Centers for Medicare & Medicaid Services Coverage Criteria for Continuous Glucose Monitoring
title_full What's Wrong with This Picture? A Critical Review of Current Centers for Medicare & Medicaid Services Coverage Criteria for Continuous Glucose Monitoring
title_fullStr What's Wrong with This Picture? A Critical Review of Current Centers for Medicare & Medicaid Services Coverage Criteria for Continuous Glucose Monitoring
title_full_unstemmed What's Wrong with This Picture? A Critical Review of Current Centers for Medicare & Medicaid Services Coverage Criteria for Continuous Glucose Monitoring
title_short What's Wrong with This Picture? A Critical Review of Current Centers for Medicare & Medicaid Services Coverage Criteria for Continuous Glucose Monitoring
title_sort what's wrong with this picture? a critical review of current centers for medicare & medicaid services coverage criteria for continuous glucose monitoring
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8501458/
https://www.ncbi.nlm.nih.gov/pubmed/33844588
http://dx.doi.org/10.1089/dia.2021.0107
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