Model Insurance Coverage Policies: The Power of Suggestion, the Force of Evidence

In the current issue, Dr Roach and colleagues1 analyze regional and national insurance policies for stereotactic body radiation therapy (SBRT). They investigate the recent evolution of coverage for various clinical indications in relation to the indications that the American Society for Radiation Oncology's (ASTRO's) SBRT Model Policy recommends for coverage. The authors observe a trend toward higher concordance between ASTRO's recommendations and those accepted by payers as conditions of medical necessity for SBRT, although some discrepancies remain.
Source: International Journal of Radiation Oncology * Biology * Physics - Category: Radiology Authors: Tags: Payment Policy Source Type: research