MEETING MINUTES
OF THE
CENTERS FOR MEDICARE AND MEDICAID SERVICES
MEDICARE COVERAGE ADVISORY COMMITTEE
August 30, 2006
Centers for Medicare and Medicaid Services
7500 Security Boulevard
Baltimore, Maryland
Medicare Coverage Advisory Committee
August 30, 2006
Attendees
Alan M. Garber, MD, PhD
Chairperson
Alexander H. Krist, MD
Vice-Chairperson
Executive Secretary
Michelle Atkinson
Voting Members
Edgar Black, MD
Douglas D. Bradham, Dr. PH
Margaret A. Piper, PhD, MPH
James E. Puklin, MD
Jonathan P. Weiner, PhD
A. Mark Fendrick, MD
HCFA Liason
Steve Phurrough, MD, MPA
Consumer Representative
Charles J. Queenan, III
Industry Representative
Donald W. Rucker MD
Guest Panel Experts
Rodney A. Hayward, MD
Mark E. Molich, MD
Gayle E. Reiber, PhD, MPH
Wednesday, August 30, 2006, 8:05 a.m.
The Medicare Coverage Advisory Committee met on August 30, 2006, to discuss the evidence, hear presentations and public comment, and make recommendations regarding glycemic control and the use of glucose monitors by which sensors automatically monitor glucose levels and body fluids, and whether and how the frequency of outpatient glucose monitoring is related to glycemic control and clinical outcomes in various Medicare populations.
The meeting began with a reading of conflict of interest issues and an introduction of the Committee.
CMS Summary, Presentation of Voting Questions, and Clinical Background. CMS representatives presented the panel with the questions to be considered by the panel, and also presented and overview of he clinical history and CMS coverage regarding glycemic control and glucose monitoring.
Presentation by Durable Medical Equipment Regional Contractor (DMERC). A presentation was offered by a representative of DMERC.
Presentation of the Technology Assessment. The results of a technology assessment performed by the Tufts New England Medical Center Evidence-Based Practice Center were presented.
Other Presentations. The panel heard presentations from seven additional speakers, including researchers and clinicians. After each presentation, the panel was given an opportunity to ask clarifying questions of the presenters.
Scheduled Public Comments. Twelve speakers, including representatives of professional societies, manufacturers' representatives, and practicing clinicians, addressed the panel.
Open Panel Deliberations. There was an extensive period where the panel discussed each question to be considered, during which several additional questions were posed to the presenters and other speakers.
Discussion and Voting. The panel voted on Questions 1 through 7, with the results being recorded on individual tally sheets and compiled by staff. During the voting procedure, further discussion was held among the panelists concerning each question voted upon.
Further Discussion. Following the voting, each panelist was afforded an opportunity to make comments concerning information they felt would be helpful to CMS addressing coverage issues in this area.
Adjournment. The meeting adjourned at 3:09 p.m.
I certify that I attended the meeting
of the Medicare Coverage Advisory
Committee on August 30, 2006,
and that these minutes accurately
reflect what transpired.
/s/
Michelle Atkinson
Executive Secretary, MCAC, CMS
I approve the minutes of this meeting
as recorded in this summary.
/s/
Alan M. Garber, M.D., Ph.D.
Chairperson
