Medicare Now Covers Stool DNA Screening Test Cologuard

Last week, the Centers for Medicare & Medicaid Services (CMS) announced that Cologuard is now covered for Medicare patients based on a CMS National Coverage Decision. This is exciting news as most people who are already enrolled in Medicare will not face co-pays or co-insurance if they obtain a Cologuard kit. It is important to note…  Read More

FDA approves first non-invasive DNA test for colorectal cancer

Big news in the colorectal cancer prevention and screening community yesterday! In a never-before-seen move, the Food & Drug Administration (FDA) and Centers for Medicare & Medicaid Services (CMS) jointly proposed Cologuard as a new option for colorectal cancer screening. What is Cologuard? Cologuard, produced by Exact Sciences, is a non-invasive (not requiring insertion of instruments…  Read More

Medicare Now Covers Obesity Counseling

Obese people on Medicare  now have the opportunity to have regular weight loss counseling paid for when offered by a primary care provider.  Since this is considered prevention, there is no co-pay. On November 29, the Centers for Medicare and Medicaid Services announced that there was enough evidence that intensive behavioral counseling was reasonable and necessary…  Read More

ACS's Brawley Disappointed by CMS CT Colonography Denial

American Cancer Society Chief Medical Officer Otis W. Brawley, M.D., says that he is disappointed in the decision by the Centers of Medicare and Medicaid Services not to cover CT colonography screening for elderly Americans on Medicare. Dr. Brawley points out that randomized clinical trials have shown the CTC option as effective as traditional optical colonoscopy…  Read More

CMS Says CT Colonography Evidence Insufficient: Medicare Won't Cover It

The Centers for Medicare and Medicaid issued a final National Coverage Decision on May 12, 2009 denying Medicare payments for CT colonography (virtual colonoscopy) to screen for colorectal cancer. Despite an overwhelming number of comments urging that CMS overturn their provisional determination not to cover the test, the agency remained unconvinced that there was sufficient evidence…  Read More

C3 Asks Medicare to Reconsider Decision Not to Cover CT Colonography

In response to a proposed national coverage decision by the Centers for Medicare and Medicaid Services not to pay for screening CT colonography (CTC) for Medicare enrollees, C3 has submitted comments asking that CMS cover screening CT colonography (virtual colonoscopy) as part of a Coverage with Evidence Development (CED) process. A CED would enable CMS to…  Read More