Medicare Coverage of ICDs

doi:10.1056/NEJMp048354

Volume 352:222-224		January 20, 2005		Number 3

Medicare Coverage of ICDs

Mark B. McClellan, M.D., Ph.D., and Sean R. Tunis, M.D.

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by Kadish, A.

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by Bardy, G. H.

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The results of the Sudden Cardiac Death in Heart Failure Trial(SCD-HeFT), reported in this issue of the Journal (pages 225–237),show that there are likely to be expanded clinical indicationsfor the use of an implantable cardioverter–defibrillator(ICD) in the prevention of sudden death from cardiac causes.Medicare beneficiaries currently account for 80 percent of suchdeaths in the United States, and the Center for Medicare andMedicaid Services (CMS) is poised to expand its ICD coveragesubstantially to reflect the results of this trial. Throughthis policy decision, CMS will also support the developmentof further evidence to . . . [Full Text of this Article]

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Dr. McClellan is the administrator and Dr. Tunis is chief medical officer of the Center for Medicare and Medicaid Services (CMS), Baltimore. Dr. Tunis also directs the Office of Clinical Standards and Quality at CMS.

Related Letters:

Implantable Cardioverter–Defibrillators
Mack M. J., Nash I., van Veldhuisen D. J., Voors A. A., Patwala A., Schlosshan D., Williams S. G., Bardy G. H., Lee K. L., Mark D. B., Kadish A. H., McClellan M. B., Tunis S. R.
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N Engl J Med 2005; 352:2022-2025, May 12, 2005. Correspondence

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