Nav: Home

Former USPSTF chairs say that guidelines should inform -- not determine -- coverage

October 10, 2016

Former USPSTF chairs say that guidelines should inform - not determine - coverage

FREE content: http://www.annals.org/article.aspx?doi=10.7326/M16-2304

The URL will go live when the embargo lifts

Former chairs of the U.S. Preventive Services Task Force (USPSTF), Virginia A. Moyer, MD, MPH, Michael LeFevre, MD, MSPH, and Ned Calonge, MD, MPH, say that it may be time for USPSTF guidelines to inform - not determine - insurance coverage. The authors present Mylan's attempt to lobby the USPSTF to develop guidelines on its EpiPen as an example of the pitfalls of linking recommendations to coverage. Their commentary is published in Annals of Internal Medicine.

Under the Affordable Care Act, insurers must cover without copay interventions that receive grade A or B recommendation from the USPSTF. The USPSTF is an independent, volunteer panel of 16 national experts in prevention and evidence-based medicine whose mission is to improve the health of all Americans by making evidence-based recommendations on screening, counseling, and preventive medications. The USPSTF uses rigorous assessments of conflict of interest to ensure unbiased decisions about preventive services. The panel does not consider costs or coverage when making recommendations, only the scientific assessment of benefits and harms. According to the authors, Mylan's attempt to influence the panel violates the integrity of its process. They say that the American public is best served by an independent scientific process free from advocacy and political pressure. If the only way to assure such independence is to sever the direct linkage to coverage, then it may be time to consider that option.

Note: Dr. Moyer can be reached directly via email at vmoyer@abpeds.org. Dr. LeFevre can be reached through Ann Huber at huberal@health.missouri.edu, and Dr. Calonge can be reached through Julian Kesner at Julian@coloradotrust.org.
-end-


American College of Physicians

Related Health Articles:

Public health guidelines aim to lower health risks of cannabis use
Canada's Lower-Risk Cannabis Use Guidelines, released today with the endorsement of key medical and public health organizations, provide 10 science-based recommendations to enable cannabis users to reduce their health risks.
Generous health insurance plans encourage overtreatment, but may not improve health
Offering comprehensive health insurance plans with low deductibles and co-pay in exchange for higher annual premiums seems like a good value for the risk averse, and a profitable product for insurance companies.
The Lancet Planetary Health: Food, climate, greenhouse gas emissions and health
Increasing temperatures, water scarcity, availability of agricultural land, biodiversity loss and climate change threaten to reverse health gains seen over the last century.
With health insurance at risk, community health centers face cut-backs
Repeal of key provisions of the Affordable Care Act, combined with a failure to renew critical funding streams, would result in catastrophic funding losses for community health centers-forcing these safety net providers to cut back on services, lay off staff or shut down clinical sites, according to a report published today.
Study clusters health behavior groups to broaden public health interventions
A new study led by a University of Kansas researcher has used national health statistics and identified how to cluster seven health behavior groups based on smoking status, alcohol use, physical activity, physician visits and flu vaccination are associated with mortality.
Tailored preventive oral health intervention improves dental health among elderly
A tailored preventive oral health intervention significantly improved the cleanliness of teeth and dentures among elderly home care clients.
Study finds that people are attracted to outward signs of health, not actual health
Findings published in the journal Behavioral Ecology reveal that skin with yellow and red pigments is perceived as more attractive in Caucasian males, but this skin coloring does not necessarily signal actual good health.
In the January Health Affairs: Brazil's primary health care expansion
The January issue of Health Affairs includes a study that explores a much-discussed issue in global health: the role of governance in improving health, which is widely recognized as necessary but is difficult to tie to actual outcomes.
University of Rochester and West Health Collaborate on d.health Summit 2017
In collaboration with West Health, the University of Rochester is hosting the third annual d.health Summit, a forum for health care and technology leaders, entrepreneurs, senior care advocates and policymakers to exchange ideas, create new partnerships, and foster disruptive technological and process innovations to improve the lives of the nation's aging population.
Study links health literacy to higher levels of health insurance coverage
The federal Affordable Care Act is intended to make it easier for individuals to buy health insurance, but are the uninsured equipped to navigate the choices faced in the insurance marketplace?

Related Health Reading:

Best Science Podcasts 2019

We have hand picked the best science podcasts for 2019. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Setbacks
Failure can feel lonely and final. But can we learn from failure, even reframe it, to feel more like a temporary setback? This hour, TED speakers on changing a crushing defeat into a stepping stone. Guests include entrepreneur Leticia Gasca, psychology professor Alison Ledgerwood, astronomer Phil Plait, former professional athlete Charly Haversat, and UPS training manager Jon Bowers.
Now Playing: Science for the People

#524 The Human Network
What does a network of humans look like and how does it work? How does information spread? How do decisions and opinions spread? What gets distorted as it moves through the network and why? This week we dig into the ins and outs of human networks with Matthew Jackson, Professor of Economics at Stanford University and author of the book "The Human Network: How Your Social Position Determines Your Power, Beliefs, and Behaviours".