Who Will Pay for AI?

被引：53

作者：

Chen, Melissa M. ^{[1
]}

Golding, Lauren Parks ^{[2
]}

Nicola, Gregory N. ^{[3
]}

机构：

[1] Univ Texas MD Anderson Canc Ctr, Dept Radiol, 1400 Pressler St,Unit 1482, Houston, TX 70030 USA

[2] Triad Radiol, Winston Salem, NC USA

[3] Hackensack Radiol, Hackensack, NJ USA

来源：

RADIOLOGY-ARTIFICIAL INTELLIGENCE | 2021年 / 3卷 / 03期

关键词：

Computer Applications-General (Informatics); Technology Assessment; MEDICARE; QUALITY;

D O I：

10.1148/ryai.2021210030

中图分类号：

TP18 [人工智能理论];

学科分类号：

081104 ; 0812 ; 0835 ; 1405 ;

摘要：

In 2020, the largest U.S. health care payer, the Centers for Medicare & Medicaid Services (CMS), established payment for artificial intelligence (AI) through two different systems in the Medicare Physician Fee Schedule (MPFS) and the Inpatient Prospective Payment System (IPPS). Within the MPFS, a new Current Procedural Terminology code was valued for an AI tool for diagnosis of diabetic retinopathy, IDx-RX. In the IPPS, Medicare established a New Technology Add-on Payment for Viz.ai software, an AI algorithm that facilitates diagnosis and treatment of large-vessel occlusion strokes. This article describes reimbursement in these two payment systems and proposes future payment pathways for AI. (C)RSNA, 2021

引用

页数：5

共 25 条

[1] [Anonymous], 2020, INTERVENTIONAL NEWS
[2] The state of artificial intelligence-based FDA-approved medical devices and algorithms: an online database
Benjamens, Stan
Dhunnoo, Pranavsingh
Mesko, Bertalan
[J]. NPJ DIGITAL MEDICINE, 2020, 3 (01)
[3] Centers for Medicare & Medicaid, 2020, PROP MED COV INN TEC
[4] Centers for Medicare & Medicaid Services, 2012, ALL PRACT EXP MED FE, P1
[5] Centers for Medicare & Medicaid Services, 2019, FISC YEAR FY 2020 ME
[6] Chen Evan M, 2021, Ophthalmology, V128, P475, DOI 10.1016/j.ophtha.2020.07.043
[7] The Qualified Clinical Data Registry: A Pathway to Success within MACRA
Chen, M. M.
Rosenkrantz, A. B.
Nicola, G. N.
Silva, E., III
McGinty, G.
Manchikanti, L.
Hirsch, J. A.
[J]. AMERICAN JOURNAL OF NEURORADIOLOGY, 2017, 38 (07) : 1292 - 1296
[8] Experience With Medicare's New Technology Add-On Payment Program
Clyde, Alexandra T.
Bockstedt, Lindsay
Farkas, Jeffrey A.
Jackson, Christine
[J]. HEALTH AFFAIRS, 2008, 27 (06) : 1632 - 1641
[9] Department of Health and Human Services, 2020, MED COV INN TECHN MC
[10] Department of Health and Human Services, 2020, PROP RUL CY 2021 PAY

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