Favorable Decision for ACR Members in “TMA III” NSA Case
Fifth Circuit ruling on No Surprises Act QPA calculations supports fair physician reimbursement and stronger insurer accountability.
Read moreThe long ACR®-supported Increasing Access to Lung Cancer Screening Act was introduced in the U.S. House of Representatives Nov. 20, by Reps. Brian Fitzpatrick (R-PA) and Kathy Castor (D-FL).
This bill would require all state Medicaid programs to cover lung cancer screening for eligible enrollees without cost-sharing, expand coverage for tobacco cessation, and prohibit payers from subjecting annual lung cancer screening to prior authorization.
Lung cancer kills more people than breast, colon and prostate cancers combined. Annual screening of those at high risk for lung cancer with low-dose CT Scans (LDCT) was proven by multiple renowned studies published in the New England Journal of Medicine and elsewhere to significantly reduce lung cancer deaths. ,
Updated federal guidelines nearly doubled the number of Americans eligible for lung cancer screening. Private insurance and Medicare cover these yearly screenings for those who meet age and smoking-history requirements. Yet, to date less than 18.2% of those eligible are screened. Wider screening could save 30,000–60,000 lives in the U.S. each year.
Minorities have increased risk to lung cancer:
Wider screening can help address these disparities and save more lives from the nation’s leading cancer killer.
ACR continues to monitor and provide updates on the bill’s progress. For more information or if you have questions, contact Ashley Walton, ACR Director of Government Affairs.
Favorable Decision for ACR Members in “TMA III” NSA Case
Fifth Circuit ruling on No Surprises Act QPA calculations supports fair physician reimbursement and stronger insurer accountability.
Read moreRAPID Pathway for Device Coverage
RAPID pathway could streamline Medicare coverage decisions for eligible breakthrough devices through earlier review alignment.
Read moreDetailed Summary of FY2027 IPPS Final Rule
CMS finalized FY 2027 hospital payment updates, including a 2.3% increase, new technology payments and AI-related policy changes.
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