Sorry, the government’s not paying for your therapy app

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Sorry, the government’s not paying for your therapy app
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Makers of products that take medicine online say slow-moving bureaucracy is crushing innovation.

New treatments for chronic conditions like opioid addiction, ADHD and insomnia are here and they’re on your smartphone — not in a pill bottle.

Now there’s a bipartisan push to change that, but it comes as many of the firms are in a race to survive. Their plight underscores the quandary facing regulators who must balance the need for new treatments with the expense, especially when there’s limited evidence the treatments work and health care costs are spiraling. said it’s crucial to let the experiment in digital therapy proceed.

Their effort comes too late for Pear Therapeutics. As recently as January, the Boston-based firm seemed to be on the cutting edge of health care as it touted interest from leading providers and state governments in its products melding smartphones with addiction therapy. A CMS spokesperson whom POLITICO granted anonymity to discuss its reviews of digital therapeutics said that it had considered Pear’s products and determined that they did not fit into the Medicare benefit category for “durable medical equipment, prosthetics, orthotics and supplies” and that the agency had denied coverage for that reason.The spokesperson said that CMS could consider whether the apps fit into a different category.

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