Abstract
Continuous glucose monitors are a clinically meaningful addition to treatment plans for patients with diabetes who are actively managing their care. Since they first became commercially available, much progress has been made to ensure coverage of these devices for patients, but inadequate reimbursement of clinicians' time continues to serve as a barrier to adoption.
References
1.
Urbina
I
. In the treatment of diabetes, success often does not pay . New York Times. January 11, 2006 .
2.Food and Drug Administration . Medtronic Minimed Guardian RT continuous glucose monitoring system approval dated July 18, 2005 . PMA Number P980022. http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPMA/PMA.cfm?ID=7622. Accessed May 15, 2009 .
3.
Ludvigsson
J
Hanas
R
. Continuous subcutaneous glucose monitoring improved metabolic control in pediatric patients with type 1 diabetes: a controlled crossover study . Pediatrics.
2003 ;111 (5 Pt 1 ): 933 –8 .
4.
Garg
S
Zisser
H
Schwartz
S
Bailey
T
Kaplan
R
Ellis
S
Jovanovic
L
. Improvement in glycemic excursions with a transcutaneous, real-time continuous glucose sensor: a randomized controlled trial , Diabetes Care.
2006 ;29 (1 ): 44 –50 .
5.The JDRF Artificial Pancreas Project . Where we are . http://www.jdrf.org/index.cfm?fuseaction=home.viewPage&page_id=2C28C5CA-1279-CFD5-A75F3B0779399820. Accessed April 28, 2009 .
6.The Juvenile Diabetes Research Foundation Continuous Glucose Monitoring Study Group ,
Tamborlane
WV
Beck
RW
Bode
BW
Buckingham
B
Chase
HP
Clemons
R
Fiallo-Scharer
R
Fox
LA
Gilliam
LK
Hirsch
IB
Huang
ES
Kollman
C
Kowalski
AJ
Laffel
L
Lawrence
JM
Lee
J
Mauras
N
O'Grady
M
Ruedy
KJ
Tansey
M
Tsalikian
E
Weinzimer
S
Wilson
DM
Wolpert
H
Wysocki
T
Xing
D
. Continuous glucose monitoring and intensive treatment of type 1 diabetes . N Engl J Med.
2008 ;359 (14 ): 1464 –76 .
7.Aetna . Clinical policy bulletin: diabetes tests, programs and supplies. Bulletin 0070 . http://www.aetna.com/cpb/medical/data/1_99/0070.html. Accessed April 29, 2009 .
8.Cigna . Medical coverage policy number 0106: home blood glucose monitors . http://www.cigna.com/customer_care/healthcare_professional/coverage_positions/medical/mm_0106_coveragepositioncriteria_blood_glucose_monitors.pdf. Accessed April 29, 2009 .
9.UnitedHealthcare . Technology assessment number 2009t0347g: continuous glucose monitoring and insulin pumps for managing diabetes . https://www.unitedhealthcareonline.com/b2c/cmaIndexResult.do?channelId=016228193392b010VgnVCM100000c520720a&htmlFilePath=/ccmcontent/ProviderII/UHC/en-US/Assets/ProviderStaticFiles/ProviderStaticFilesHtml/MedicalPolicies/Continuous_Glucose_Monitoring_for_the_Management_of_Diabetes_Mellitus.htm. Accessed April 29, 2009 .
10.WellPoint/Anthem . Medical policy number dme.00005: glucose monitoring and related supplies . http://www.anthem.com/medicalpolicies/policies/mp_pw_a049550.htm. Accessed April 29, 2009 .
11.The JDRF Artificial Pancreas Project . Insurance coverage: CGM coverage policies for select health plans . http://www.jdrf.org/index.cfm?page_id=111281. Accessed May 19, 2009 .
12.CIGNA Government Services . policy article a33745 glucose monitor . Policy article. http://www.cms.hhs.gov/mcd/viewarticle.asp?article_id=33745&article_version=15&basket=article%3A33745%3A15%3AGlucose+Monitor+%E2%80%93+Policy+Article+%E2%80%93+Effective+October++2008%3ADME+MAC%3ACIGNA+Government+Services+%2818003%29. Effective October 2008 .
13.National Government Services, Inc . policy article a47238 glucose monitor. Policy article . http://www.cms.hhs.gov/mcd/viewarticle.asp?article_id=47238&article_version=7&basket=article%3A47238%3A7%3AGlucose+Monitors+%2D+Policy+Article+%2D+October+2008%3ADME+MAC%3ANational+Government+Services%7C%7C+Inc%2E+%2817003%29. Effective October 2008 .
14.NHIC, Corp . policy article a33614 glucose monitor. Policy article . http://www.cms.hhs.gov/mcd/viewarticle.asp?article_id=33614&article_version=15&basket=article%3A33614%3A15%3AGlucose+Monitors+%2D+Policy+Article+%2D+October+2008%3ADME+MAC%3ANHIC%7C%7C+Corp%2E+%2816003%29. Effective October 2008 .
15.Noridian Administrative Services . policy article a33673 glucose monitor. Policy article . http://www.cms.hhs.gov/mcd/viewarticle.asp?article_id=33673&article_version=20&basket=article%3A33673%3A20%3AGlucose+Monitors+%2D+Policy+Article+%2D+Effective+October+2008%3ADME+MAC%3ANoridian+Administrative+Services+%2819003%29. Effective October 2008 .
16.
Baucus
M
. Call to action: health reform 2009 . United States Senate, November 12, 2008. http://finance.senate.gov/healthreform2009/finalwhitepaper.pdf.