STAT

Opinion: It’s time to reform the process for determining what Medicare covers

America's seniors deserve clarity about what Medicare covers. A new law can help provide that.
Local determinations have created uncertainty about whether Medicare patients who have lost limbs will have access to the prosthetic care they need. Source: AP Photo/Jose Luis Magana

If your health care is covered by Medicare, like more than 55 million of your fellow Americans, where you live partly determines what Medicare will pay for. The process for deciding what items and services are covered from region to region needs reform.

In our work with physicians, patients, and medical technology companies, we have seen coverage decisions ignore medical evidence and Medicare program requirements. Ultimately, these decisions place people with disabilities and older Americans

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