Grassley, Warren Want UDI in Claims Form
Sens. Chuck Grassley (R-IA) and Elizabeth Warren (D-MA) are asking FDA and HHS officials for information on the progress they have made in adding the unique device identifier (UDI) of medical devices to health insurance claims forms to improve post-market surveillance and curb Medicare waste. Their 3/8 letter reminds officials that in 2007 Congress required FDA to create the UDI system and in 2012 required that the Sentinel Initiative be expanded to medical devices. “Active post-market surveillance of medical devices can help to track product safety and performance, which is critical to public health and safety,” the senators write.
The letter notes that the HHS Center for Medicare and Medicaid Services (CMS) has opposed adding the UDI to claims forms “solely because of the technological challenges associated with the change.” Included with the letter is a preliminary report on an HHS Inspector General study finding that recalls of defective products have likely resulted in millions of claims for monitoring, replacement, and follow-up care at significant costs. “Inclusion of UDI in claims would allow for faster identification of poorly performing and recalled devices,” Grassley and Warren say, “and ensure that hospitals, device manufacturers, and CMS are all receiving proper reimbursement.”
They say that continued CMS opposition is contrary to statements made by HHS secretary Sylvia Burwell before the Senate HELP Committee and note that the opportunity to make changes to the claims form revision due to be implemented in 2021 will soon be gone. “Given the importance of this issue, we hope you will ensure that CMS works collaboratively with FDA and other stakeholders to ensure that the next update of the claims form will incorporate UDIs,” the letter concludes.