What the CMS 2025 PFS Proposed Rule Means for Virtual Care

Healthcare policy advisor Miranda Franco was quoted in an mHealthIntelligence article discussing the future of digital therapeutics within the framework of Medicare coverage. Ms. Franco highlighted the significance of new digital therapeutics-specific codes proposed by the Centers for Medicare & Medicaid Services (CMS) as a step toward expanding Medicare coverage for these treatments, particularly in behavioral health. She also expressed optimism about ongoing clinical trials and CMS' cautious yet forward-moving approach in integrating digital therapeutics into healthcare despite questions about their efficacy and the need for further research.

"We are continuing to see more and more trials in this arena as well. And so, while there might be some skepticism, I think this shows that CMS is committed to trying to find a path forward, albeit tiptoeing and cautiously," she said.

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