title: Experience with Medicare's new technology add-on payment program.
abstract: We describe the new technology add-on payment (NTAP) program used by the Centers for Medicare and Medicaid Services (CMS) to provide additional payment for breakthrough technologies in the Medicare hospital inpatient prospective payment system (IPPS). We also evaluate spending under the program. Our findings suggest that the criteria established by the CMS to limit qualifying technologies, combined with an improvement in overall payment adequacy for the new technologies that qualify for NTAPs, may represent important steps toward improving value in Medicare.
authors.affiliation: Medtronic Inc., Minneapolis, Minnesota, USA. alexandra.clyde@medtronic.com
authors.forename: Alexandra T
authors.initials: AT
authors.lastname: Clyde
authors.forename: Lindsay
authors.initials: L
authors.lastname: Bockstedt
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Farkas
authors.forename: Christine
authors.initials: C
authors.lastname: Jackson
mesh_terms: D003953:Diagnosis-Related Groups; D007297:Inpatients; D013677:Medical Laboratory Science; D006278:Medicare; D011445:Prospective Payment System / Q000458:organization & administration; D012051:Reimbursement Mechanisms / Q000458:organization & administration*; D014481:United States