United States By the numbers: DXA Testing Estimated Consequences 2008 Peak year for DXA scanning Decline to $42 reimbursement Fewer woman to receive a DXA 70% 3,680,948 for DXA scans since 2006 scan than projected since 2008 Decline in the number of DXA Additional hip fractures due to 26% 43,661 physicians since 2008 reduced screening Decline in DXA testing of Additional hip fracture related 9.4% 9,518 Medicare women since 2008 deaths per year Decline in osteoporosis Additional cost to Medicare to 21.5% $1.8B diagnosis since 2009 treat hip fractures alone Osteoporosis is under-diagnosed in the Medicare population according to CDC NHANES survey. DXA scans are the gold standard for osteoporosis diagnosis. Yet in 2007, CMS began significantly reducing reimbursement for DXA scans. This reduced the number of physicians in private offices offering DXA. As a result, fewer women and men were scanned resulting in a decline in osteoporosis diagnosis. Without diagnosis, fewer patients received effective treatment for low bone mass, which is now being reflected in increased fracture risk. Hip fractures are particularly expensive for CMS and destructive for the patients, as many will never be independently mobile again and 20% of all hip fracture patients die within a year of the fracture. Direct Research LLC, Medicare PSPS Master Files and Medicare 5% LDS SAF. Cost model and projections by Peter M. Steven, PhD.
Alabama By the numbers: DXA Testing Estimated Consequences Decline to $42 reimbursement Fewer woman to receive a DXA 70% 34,360 for DXA scans since 2006 scan than projected since 2008 Decline in the number of DXA Additional hip fractures due to 7.5% 408 physicians since 2008 reduced screening Decline in DXA testing versus Additional hip fracture related 12.4% 89 projection by 2016 deaths per year Decline in osteoporosis Additional cost to Medicare to 21.5% $17M diagnosis nationally since 2009 treat hip fractures alone Osteoporosis is under-diagnosed in the Medicare population according to CDC NHANES survey. DXA scans are the gold standard for osteoporosis diagnosis. Yet in 2007, CMS began significantly reducing reimbursement for DXA scans. This reduced the number of physicians in private offices offering DXA. As a result, fewer women and men were scanned resulting in a decline in osteoporosis diagnosis. Without diagnosis, fewer patients received effective treatment for low bone mass, which is now being reflected in increased fracture risk. Hip fractures are particularly expensive for CMS and destructive for the patients, as many will never be independently mobile again and 20% of all hip fracture patients die within a year of the fracture. Direct Research LLC, Medicare PSPS Master Files and Medicare 5% LDS SAF. Cost model and projections by Peter M. Steven, PhD.
Alaska By the numbers: DXA Testing Estimated Consequences 2005 Peak year for DXA scanning Decline to $42 reimbursement Fewer woman to receive a DXA 70% 7,487 for DXA scans since 2006 scan than projected since 2008 Decline in DXA testing of Additional hip fractures due to 5.9% 89 Medicare women since 2008 reduced screening Decline in DXA testing of Additional hip fracture related 10.7% 19 Medicare women since its peak deaths per year Decline in osteoporosis Additional cost to Medicare to 21.5% $3.7M diagnosis since 2009 treat hip fractures alone Osteoporosis is under-diagnosed in the Medicare population according to CDC NHANES survey. DXA scans are the gold standard for osteoporosis diagnosis. Yet in 2007, CMS began significantly reducing reimbursement for DXA scans. This reduced the number of physicians in private offices offering DXA. As a result, fewer women and men were scanned resulting in a decline in osteoporosis diagnosis. Without diagnosis, fewer patients received effective treatment for low bone mass, which is now being reflected in increased fracture risk. Hip fractures are particularly expensive for CMS and destructive for the patients, as many will never be independently mobile again and 20% of all hip fracture patients die within a year of the fracture. Direct Research LLC, Medicare PSPS Master Files and Medicare 5% LDS SAF. Cost model and projections by Peter M. Steven, PhD.
Arizona By the numbers: DXA Testing Estimated Consequences 2008 Peak year for DXA scanning Decline to $42 reimbursement Fewer woman to receive a DXA 70% 91,537 for DXA scans since 2006 scan than projected since 2008 Decline in the number of DXA Additional hip fractures due to 24% 1,086 physicians since 2008 reduced screening Decline in DXA testing of Additional hip fracture related 14.1% 237 Medicare women since 2008 deaths per year Decline in osteoporosis Additional cost to Medicare to 21.5% $45M diagnosis since 2009 treat hip fractures alone Osteoporosis is under-diagnosed in the Medicare population according to CDC NHANES survey. DXA scans are the gold standard for osteoporosis diagnosis. Yet in 2007, CMS began significantly reducing reimbursement for DXA scans. This reduced the number of physicians in private offices offering DXA. As a result, fewer women and men were scanned resulting in a decline in osteoporosis diagnosis. Without diagnosis, fewer patients received effective treatment for low bone mass, which is now being reflected in increased fracture risk. Hip fractures are particularly expensive for CMS and destructive for the patients, as many will never be independently mobile again and 20% of all hip fracture patients die within a year of the fracture. Direct Research LLC, Medicare PSPS Master Files and Medicare 5% LDS SAF. Cost model and projections by Peter M. Steven, PhD.
Arkansas By the numbers: DXA Testing Estimated Consequences 2008 Peak year for DXA scanning Decline to $42 reimbursement Fewer woman to receive a DXA 70% 58,967 for DXA scans since 2006 scan than projected since 2008 Decline in the number of DXA Additional hip fractures due to 32% 699 physicians since 2008 reduced screening Decline in DXA testing of Additional hip fracture related 16.8% 152 Medicare women since 2008 deaths per year Decline in osteoporosis Additional cost to Medicare to 21.5% $29M diagnosis since 2009 treat hip fractures alone Osteoporosis is under-diagnosed in the Medicare population according to CDC NHANES survey. DXA scans are the gold standard for osteoporosis diagnosis. Yet in 2007, CMS began significantly reducing reimbursement for DXA scans. This reduced the number of physicians in private offices offering DXA. As a result, fewer women and men were scanned resulting in a decline in osteoporosis diagnosis. Without diagnosis, fewer patients received effective treatment for low bone mass, which is now being reflected in increased fracture risk. Hip fractures are particularly expensive for CMS and destructive for the patients, as many will never be independently mobile again and 20% of all hip fracture patients die within a year of the fracture. Direct Research LLC, Medicare PSPS Master Files and Medicare 5% LDS SAF. Cost model and projections by Peter M. Steven, PhD.
California By the numbers: DXA Testing Estimated Consequences 2011 Peak year for DXA scanning Decline to $42 reimbursement Fewer woman to receive a DXA 70% 323,148 for DXA scans since 2006 scan than projected since 2008 Decline in the number of DXA Additional hip fractures due to 21% 3,833 physicians since 2008 reduced screening Decline in DXA testing of Additional hip fracture related 13.4% 836 Medicare women since 2008 deaths per year Decline in osteoporosis Additional cost to Medicare to 21.5% $159M diagnosis since 2009 treat hip fractures alone Osteoporosis is under-diagnosed in the Medicare population according to CDC NHANES survey. DXA scans are the gold standard for osteoporosis diagnosis. Yet in 2007, CMS began significantly reducing reimbursement for DXA scans. This reduced the number of physicians in private offices offering DXA. As a result, fewer women and men were scanned resulting in a decline in osteoporosis diagnosis. Without diagnosis, fewer patients received effective treatment for low bone mass, which is now being reflected in increased fracture risk. Hip fractures are particularly expensive for CMS and destructive for the patients, as many will never be independently mobile again and 20% of all hip fracture patients die within a year of the fracture. Direct Research LLC, Medicare PSPS Master Files and Medicare 5% LDS SAF. Cost model and projections by Peter M. Steven, PhD.
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