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Schaeffer experts submitted comments to the Centers for Medicare & Medicaid Services (CMS) in response to the agency’s proposal to create a billing code to reimburse providers for discussing clinical trials with patients.
The experts study barriers to trial enrollment through the USC Clinical Trial Recruitment Lab, with a particular focus on Alzheimer’s disease and related dementias (ADRD). Their comments expressed support for creating a dedicated HCPCS G-code for clinical trial counseling and encouraged CMS to ensure it reflects the complexity of conducting trials for cognitive-impairment treatments.
Their key recommendations:
- Documentation requirements should be kept minimal, consistent with the lean approach CMS has proposed.
- The code should reflect the added time needed to address caregivers and study partners, which are often required by ADRD trials.
- Medicare should make the service available via telehealth to protect access for rural and underserved patients.
The full comment letter is available here.