FDA, CMS Launching Tempo Pilot

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FDA and the Center for Medicare and Medicaid Services’ Center for Medicare and Medicaid Innovation (CMMI) are launching the Technology-Enabled Meaningful Patient Outcomes (TEMPO) for Digital Health Devices pilot. An FDA Digital Health Center of Excellence announcement says FDA will work with CMMI’s Advancing Chronic Care with Effective Scalable Solutions (ACCESS) model to promote access to certain digital health devices while safeguarding patient safety. The statement says FDA will gather statements of interest for participating in the TEMPO pilot beginning in 2026.

Through the ACCESS model, FDA says, the Center for Medicare and Medicaid Services will test a new payment option that emphasizes patient outcomes. “If a manufacturer seeks to offer its device for an intended use to improve patient outcomes,” the notice says, “such that it may be used to provide care covered by the CMMI ACCESS model, FDA generally expects the device to be FDA authorized for that use. However, manufacturers of certain digital health devices that are not already authorized by FDA for such use may request to participate in the TEMPO pilot and request that FDA exercise enforcement discretion and not enforce certain applicable requirements, such as premarket authorization requirements, when their device is offered to or by CMMI ACCESS participants for an intended use to improve patient outcomes, to be used in providing care expected to be covered by the CMMI ACCESS model.”

FDA says it plans to select up to about 10 manufacturers in each of four specific clinical use areas to participate in the pilot.

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