Forum Session

Medicare Coverage: Lessons from the Past, Questions for the Future
November 2, 2001


Robin J. Strongin, Consultant


This meeting provided an overview of the Medicare coverage process and how it has changed over time. Centers for Medicare and Medicaid (CMS) policies regarding coverage were reviewed, focusing on coverage criteria and standards of evidence used in the process, as well as the use of cost and cost-effectiveness analysis. The impact of Medicare decision making on technology innovation and adoption was also discussed.


Donald A. Young, MD, Interim President, Health Insurance Association of America; Sean R. Tunis, MD, Director, Coverage and Analysis Group, Office of Clinical Standards and Quality, Centers for Medicare and Medicaid Services, Department of Health and Human Services; Randel E. Richner, Vice President for Reimbursement and Outcomes Planning, Boston Scientific Corporation; Jonathan Blum, Professional Staff Member, Senate Committee on Finance; Stacey Sachs, Health Policy Fellow, Senate Committee on Health, Education, Labor and Pensions

Related Materials

More information available in the accompanying Background Paper.

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