Smith John J, Henderson Jennifer A
Hogan & Hartson, LLP., Washington, DC 20004, USA.
J Am Coll Radiol. 2008 Mar;5(3):189-92. doi: 10.1016/j.jacr.2007.09.005.
Clinical studies of new imaging technologies conducted for regulatory purposes have traditionally focused on satisfying the standards of the US Food and Drug Administration (FDA) for marketing clearance or approval of a new product. However, given the increased scrutiny that is being directed at diagnostic imaging by third-party payers, obtaining clinical data that can support Medicare coverage of a new imaging technology is increasingly important to ensure the maximum diffusion of that technology. This article describes the regulatory requirements of both the FDA and Centers for Medicare and Medicare Services and explains how sponsors may approach clinical studies to secure both FDA clearance or approval and Centers for Medicare and Medicare Services coverage and payment.
为监管目的而开展的新成像技术临床研究,传统上一直专注于满足美国食品药品监督管理局(FDA)对新产品上市许可或批准的标准。然而,鉴于第三方支付方对诊断成像的审查日益严格,获取能够支持医疗保险覆盖新成像技术的临床数据,对于确保该技术的最大程度推广变得越来越重要。本文介绍了FDA以及医疗保险和医疗补助服务中心的监管要求,并解释了申办方如何开展临床研究以同时获得FDA的许可或批准以及医疗保险和医疗补助服务中心的覆盖和支付。