WASHINGTON -- Medicare will pay for vagus nerve stimulation (VNS) for treatment-resistant depression and has tentatively decided to do the same for chimeric antigen receptor T-cell (CAR-T) therapies -- but only under Coverage with Evidence Development, which means patients and their treating physicians must be part of an approved research protocol.
For VNS, the limitation stipulates that patients must be in a "double-blind, randomized, placebo-controlled trial with a follow-up duration of at least one year," among other conditions. It also spells out nine research questions that the trial must address, as well as particular inclusion and exclusion criteria for recruitment.
VNS devices must also have been approved by the FDA. Several have been on the market for more than a decade.
The Center for Medicare and Medicaid Services' proposed decision on CAR-T therapies has somewhat broader criteria, allowing coverage for patients enrolled in registries as well as those in randomized trials. Protocols must specify that patients will be followed for at least 2 years. Treatments must have an FDA approval, although the studies may be for investigational indications. The first was approved in August 2017 and a second a few months later.
Comments on the proposed CAR-T therapy coverage will be accepted for the next 30 days, the agency noted, with a final decision 3 months from now.
CAR-T, Vagus Nerve Therapies Win Some Love From Medicare
In this scenario, your gut issues a plea for help via the vagus. There are does drinking beer before wine ease the hangover? many variations but this is a good way to start. Restoring the Bodys Natural Balance, kevin Tracey, a neurosurgeon based in aHA News: Pregnancy May Raise Risk of Deadliest Type of Stroke New York, was the first in the West to discover the link between the vagus nerve, inflammation and overall health. We can now understand so much more about the reasoning behind some of the behaviors that those with autism exhibit because of their neurology. Endurance athlete and coach Christopher Bergland, who has written at length on the vagus, offers some perspective on supporting and improving the vagal functioning: healthy vagal tone is indicated by a slight increase of heart rate when you. Treatment for...
After over a decade of experimentation, Tracey became convinced that by stimulating the vagus nerve he could block inflammation in the body. (Interesting to note, mercury toxicity can also interfere with normal vagus nerve function ). Generation Rescue worldwide, More Die After Surgery Than From HIV, Malaria: Study website as upbeat Attitude May Be a Pain Fighter well as on the, international Chiropractic Pediatric Association s website. Vagus Influence over Satiety, feeling hungry or full?