Prostate cancer is the second most common cause of cancer deaths in men, and about one man in six will be diagnosed with prostate cancer in his lifetime.
Fortunately, the early detection of prostate cancer through appropriate testing has been shown to dramatically reduce morbidity and mortality associated with prostate cancer.
While there has been some recent debate surrounding the use of certain prostate cancer testing modalities, the urologic community should ensure that third-party payors provide for the reimbursement of these tests when the patient and his physician conclude that such testing is the appropriate course.
Where We Stand
✅ Continue the progress that has been made in the reduction of prostate cancer morbidity and mortality with the appropriate use of prostate cancer testing.
✅ Ensure that third-party payors provide for the reimbursement of prostate cancer testing when the patient and his physician conclude that such testing is the appropriate course.
Proactive Physician Campaign Resources
PSA Test Remains a Valued Tool to Detect Prostate Cancer at Early Stage (5/9/2013)
Early Detection of Prostate Cancer: Information for Patients and Healthcare Providers
Model Legislation — To provide reimbursement for prostate cancer testing
State laws addressing third-party coverage by private insurers for prostate cancer screening (4/2008)
State Advocacy
Workforce — Scope of Practice
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Uniform Prior Authorization for Prescriptions and Health Services
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Fair Contracting and Medical Practice Freedom
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