Thursday, April 16, 2026

STAT+: Medicare may nix breakthrough device payment pathway

Welcome to the latest edition of STAT Health Tech, where we bring you the most recent developments in the world of healthcare technology. In this edition, we’ll be discussing the potential changes to breakthrough device payments by CMS, as well as the legal troubles faced by healthcare startup Zealthy.

CMS (Centers for Medicare and Medicaid Services) is considering revising its payment policies for breakthrough medical devices, which are those that provide a significant improvement in the diagnosis, treatment, or prevention of a disease. Currently, these devices receive an additional payment from Medicare, but the agency is exploring ways to streamline the payment process and potentially lower costs for patients.

This move by CMS is welcomed by many healthcare experts and industry players, who believe that the current payment system for breakthrough devices is outdated and inefficient. By revising the payment policies, CMS aims to encourage the development and adoption of innovative medical devices that can improve patient outcomes and reduce healthcare costs.

The proposed changes would also make it easier for healthcare providers to access these breakthrough technologies, as they would no longer have to go through the complicated process of obtaining additional payments from Medicare. This could lead to faster adoption of new medical devices and ultimately benefit patients by providing them with better and more advanced care.

In addition to the potential changes in device payments, this edition of STAT Health Tech also highlights the legal troubles faced by Zealthy, a healthcare startup that offers online telemedicine services. The company is currently facing a lawsuit from the Federal Trade Commission (FTC) for allegedly deceiving consumers with false claims about their medical services.

The FTC claims that Zealthy has advertised their telemedicine services as being able to diagnose and treat medical conditions, without proper medical supervision or testing. They also allege that the company has misled consumers by claiming to have a team of licensed physicians, when in reality, most of their consultations were conducted by non-physicians.

This news is certainly concerning, especially as the demand for telemedicine services has increased significantly due to the ongoing COVID-19 pandemic. However, it is worth noting that the allegations against Zealthy are still under investigation and have not been proven yet. The company has also released a statement denying the claims and stating that they have always prioritized patient safety and compliance with regulations.

While the outcome of this legal battle is yet to be seen, it serves as a reminder that the healthcare industry must uphold ethical standards and prioritise patient safety above all else. It also highlights the importance of thorough research and due diligence when choosing a healthcare provider, whether it’s in person or through telemedicine.

On a more positive note, the rise of telemedicine has also opened up new opportunities for innovative healthcare startups to enter the market. The past year has seen a significant increase in the number of virtual care platforms, providing access to medical services from the comfort of one’s home. This trend is likely to continue, and we can expect to see more advancements in the telemedicine industry in the coming years.

In conclusion, the healthcare industry is constantly evolving, and it’s crucial for government agencies, healthcare providers, and startups to work together in adapting to these changes. The potential changes in breakthrough device payments by CMS could lead to significant improvements in patient care and the reduction of healthcare costs. While the legal troubles faced by Zealthy serve as a reminder of the importance of ethical practices in the industry.

That’s all for this edition of STAT Health Tech. Stay tuned for our next issue, where we’ll bring you more updates on the latest healthcare technology developments. Let’s continue to embrace innovation and strive towards providing better, more accessible healthcare for all.

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