Tim, This all about powerful lobbyists in DC. IMO, I don't believe its because the FDA approved this specfic G5 CGM because of its parameters. If that were true, the FDA approved the Omnipod insulin delivery system, but CMS will NOT consider it DME because the Insulin Delivery Pods only last for 72 hours. However, other tubed type insulin pumps are CMS approved reimbursable even though the pump tubing is also disposed of after 72 hours, but the Omnipod Pods are still not approved? With that said, I believe what ever medical device company can pad the various CMS Provider Reimbursement Review Board members pockets is the company that gets the approval. I truly think Dexcom did an excellent job of convincing for their case. Remember this is all about BIG $$, and HUGE Profits for Dexcom!
Can you explain to me why Dexcom chose to outsource this Medicare operation to Liberty Medical back in March when most Medical Device companies have sales people who take orders, and then the device is sent directly to the patient from the company that manufacture's it? If Dexcom wasn't going to make huge profits on this operation then they would have taken on the task to distribute their product from the get-go like they are now going ahead with. Lesson Learned by their CEO who is suppose to be a Accounting/Finance guru. LOL!
Look, my wife average's two unaware episodes of hypoglycemia/week, and if she could have received an approved CGM I strongly believe that these episodes could have been averted. Had I not been around to help her during these low blood glucose episodes that last well over 30 minutes she would have been in an ICU in a diabetic coma, and then CMS would be paying out more money.
FYI: our order for a G5 was sent to Dexcom by her Endo on 3/27/17, and the formal approval announcement from CMS on the G5 was on 3/24/17, that's three days later, and to date we are still waiting for an approved CGM device to be sent to us? Do you think someone possibly dropped the ball on this process? So I ask, who do people in need of a approved CGM device ordered by their physician blame? Oh I know... CMS!