The current language in the draft LCD provides reimbursement coverage for the approximately 50% of prostate cancer patients defined as low and very low risk. Under Medicare rules, the draft LCD is subject to a minimum 45-day public comment period. After comments are considered, a final LCD is...
We identified PSA cutoff specific optimal screening rules and social payoffs. We found that as PSA cutoff decreases from 10 to 1 ng/ml, social payoff from patient age 66 to the end of life increases by 6.4% from $957.2K to $1018.7K. ( Figure 1 ) CONCLUSIONS We devised a theoretic ...