Innovation Spurs Growth in Medicare NTAP
Summary
Recent growth in the NTAP designation alters dynamics for manufacturers considering pursuing the designation for new technologies.
When preparing to launch a technology for use in the inpatient setting, manufacturers assess this setting’s bundled reimbursement dynamics, and some may qualify for a new technology add-on payment (NTAP). Because the Centers for Medicare & Medicaid Services (CMS) and most private plans reimburse inpatient episodes of care using a bundled payment approach, coding of patient diagnoses drives Medicare Severity Diagnosis Related Group (MS-DRG) assignment and facility payment. Ultimately, reimbursement for an episode of care that utilizes an NTAP-qualifying technology will depend on several key factors, including...