Prostate Cancer Awareness & Assessment

by | Feb 16, 2022 | State Advocacy Network

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

Allowing practitioners to perform procedures they simply aren’t trained to do can only lead to unpredictable outcomes, higher costs and greater fragmentation of care. However, as states struggle with health care provider shortages and network capacity, the efficient...

Uniform Prior Authorization for Prescriptions and Health Services

In an effort to contain health care costs, most health insurers require a physician to obtain "prior authorization" before prescribing certain medications and health services. Most medical practices contract with multiple insurance companies, each with its own...

Medical Liability Reform — Expert Witness Qualifications

Whenever a physician’s conduct is being called into question, it is only fair that the physician, as a professional, be judged by an expert sharing the same background, training and experience. In medical liability cases, this means that only an expert practicing in...

Fair Contracting and Medical Practice Freedom

As professionals, physicians should expect to be treated openly and fairly by those with whom they transact business. This includes being given sufficient notice of any changes an insurer seeks to make to its provider contracts, the opportunity to either accept or...