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Payment for Digital Health Technologies: Barriers and Paths Forward

Over the past several years, third party payers have struggled to address coverage and payment issues arising as a result of increasing use of digital health technologies. In general, Medicare payment systems, which were designed well before the advent of digital health technologies, are not structured in a manner that is particularly well suited to accommodate these new technologies. In addition, the speed of innovation far outpaces the cumbersome processes used to update Medicare and other third party payer allowances, resulting in coverage determinations and payment allowances whose obsolescence has a tendency to precede their implementation.


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