What's Wrong with This Picture? A Critical Review of Current Centers for Medicare & Medicaid Services Coverage Criteria for Continuous Glucose Monitoring.

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  • Additional Information
    • Source:
      Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 100889084 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-8593 (Electronic) Linking ISSN: 15209156 NLM ISO Abbreviation: Diabetes Technol Ther Subsets: MEDLINE
    • Publication Information:
      Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c1999-
    • Subject Terms:
      Diabetes Mellitus, Type 2*/drug therapy ; Medicaid*; Aged ; Blood Glucose ; Blood Glucose Self-Monitoring ; Humans ; Insurance Coverage ; Medicare ; United States
    • Abstract:
      Numerous studies have demonstrated the clinical value of continuous glucose monitoring (CGM) in type 1 diabetes and type 2 diabetes populations. However, the eligibility criteria for CGM coverage required by the Centers for Medicare & Medicaid Services (CMS) ignore conclusive evidence that supports CGM use in various diabetes populations that are currently deemed ineligible. This article discusses the limitations and inconsistencies of the CMS eligibility criteria relative to current scientific evidence and proposes workable solutions to address this issue and improve the safety and care of all individuals with diabetes.
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    • Grant Information:
      K23 DK123384 United States DK NIDDK NIH HHS; P30 DK111024 United States DK NIDDK NIH HHS; UL1 TR002378 United States TR NCATS NIH HHS
    • Contributed Indexing:
      Keywords: Centers for Medicare & Medicaid Services; Continuous glucose monitoring; Insurance coverage; Type 1 diabetes; Type 2 diabetes
    • Accession Number:
      0 (Blood Glucose)
    • Publication Date:
      Date Created: 20210412 Date Completed: 20220328 Latest Revision: 20220401
    • Publication Date:
      20240628
    • Accession Number:
      PMC8501458
    • Accession Number:
      10.1089/dia.2021.0107
    • Accession Number:
      33844588