The long-awaited proposal would no longer limit coverage to high-surgical-risk patients and would bring reimbursement criteria more in line with contemporary trial evidence.
a draft decision memo on carotid-artery stenting that would expand Medicare coverage of the procedure and remove certain requirements for CAS facilities and operators.
That analysis followed a request from the Multispecialty Carotid Alliance to make the existing guidelines less restrictive. The proposal would require practitioners to"engage in a formal shared decision-making interaction with the beneficiary" that involves use of a"validated decision-making tool." The conversation must include discussion of all treatment options and their risks and benefits and cover information from the clinical guidelines, as well as"incorporate the patient's personal preferences and priorities.
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