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Type: Journal article
Title: Why the United States Center for Medicare and Medicaid Services (CMS) should not extend reimbursement indications for carotid artery angioplasty/stenting
Author: Abbott, A.
Adelman, M.
Alexandrov, A.
Barnett, H.
Beard, J.
Bell, P.
Bjorck, M.
Blacker, D.
Buckley, C.
Cambria, R.
Comerota, A.
Sander Connolly, E.
Davies, A.
Eckstein, H.
Faruqi, R.
Fraedrich, G.
Gloviczki, P.
Hankey, G.
Harbaugh, R.
Heldenberg, E.
et al.
Citation: Brain and Behavior, 2012; 2(2):200-207
Publisher: John Wiley & Sons
Issue Date: 2012
ISSN: 2162-3279
Statement of
Anne L. Abbott, Mark A. A. Adelman, Andrei V. Alexandrov, Henry J. M. Barnett … Timothy J Kleinig … Aaron Tan … et al.
Abstract: In recent years, many important discoveries have been made to challenge current policy, guidelines, and practice regarding how best to prevent stroke associated with atherosclerotic stenosis of the origin of the internal carotid artery. The United States Center for Medicare and Medicaid Services (CMS), for instance, is calling for expert advice as to whether its current policies should be modified. Using a thorough review of literature, 41 leading academic stroke-prevention clinicians from the United States and other countries, have united to advise CMS not to extend current reimbursement indications for carotid angioplasty/stenting (CAS) to patients with asymptomatic carotid stenosis or to patients with symptomatic carotid stenosis considered to be at ``low or standard risk from carotid endarterectomy (CEA).'' It was concluded that such expansion of reimbursement indications would have disastrous health and economic consequences for the United States and any other country that may follow such inappropriate action. This was an international effort because the experts to best advise CMS are relatively few and scattered around the world. In addition, US health policy, practice, and research have tended to have strong influences on other countries.
Keywords: Carotid angioplasty; carotid endarterectomy; carotid stenting; carotid surgery; health economics; public health; vascular disease; medical intervention
Rights: © 2012 European Society for Vascular Surgery. Published by Elsevier Limited. All rights reserved
RMID: 0030014780
DOI: 10.1002/brb3.32
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Appears in Collections:Medicine publications

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