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US Health Regulators to Speed up Medicare Device Coverage

The program could cut Medicare coverage decisions to about 2 months after FDA authorization, officials said.

  • On Thursday, the CMS and FDA announced the Regulatory Alignment for Predictable and Immediate Device pathway, designed to accelerate Medicare coverage for breakthrough medical devices to as little as two months.
  • Previously, it took approximately one year or more to secure national Medicare coverage after FDA market authorization, leaving patients waiting for life-changing health technology despite regulatory approval.
  • Regulators expect about 40 devices to be initially eligible for the accelerated pathway, with agencies collaborating earlier in development to align clinical trials with Medicare requirements.
  • The Transitional Coverage for Emerging Technologies program will be paused for new candidates as the CMS focuses on successful RAPID implementation.
  • AdvaMed called the program a "positive step," though CEO Scott Whitaker cautioned that meaningful timelines and effective management remain critical for patients to realize full benefits.
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US health regulators to speed up Medicare device coverage

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healthcaredive.com broke the news on Thursday, April 23, 2026.
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