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Health Reform Bill Should Include Clinical Preventive Services, Businesses and Health Advocates Urge Congressional Leaders
Date:5/4/2009

st-effective clinical preventive services under Medicaid and the State Children's Health Insurance Program (SCHIP). Cost-effective services are those services that cost less than $50,000 per quality-adjusted life year saved.
  • Authorize the Secretary of Health and Human Services to expand Medicare coverage under Part B for immunizations recommended by the ACIP. The Medicare Improvements for Patients and Providers Act of 2008 allows the Secretary to cover services recommended by the USPSTF but makes no mention of services recommended by ACIP.
  • Offer first-dollar coverage, without deductibles or copayments, for cost-effective clinical preventive services in all federally sponsored health benefit programs.
  • Ensure that reimbursement levels in federal programs are sufficient to encourage providers to deliver cost-effective clinical preventive services.
  • Reward health plans and insurers that achieve high delivery rates of recommended clinical preventive services in federally sponsored health benefit programs. Metrics, such as those developed by the National Committee for Quality Assurance, should be utilized, and such ratings should be shared with patients.

  • The letter was signed by representatives of Partnership for Prevention, American College of Preventive Medicine, American Public Health Association, America's Health Insurance Plans, Bayer HealthCare, Edelman, GlaxoSmithKline, Humana, Inc., Infecdetect LLC, Johnson & Johnson, National Association of County and City Officials, Prevent Blindness America, Society for Prevention Research, Society of Behavioral Medicine, Trust for America's Health, University of Pittsburgh School of Public Health, and WellPoint, Inc.

    Partnership for Prevention is a nonpartisan, nonprofit organization of business, non-profit and government leaders dedicated to making evidence-based disease pr
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    SOURCE Partnership for Prevention
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