Vertebroplasty is probably more effective than sham or usual care for vertebral compression fractures for reducing pain and improving function in older (Medicare-eligible) populations, but benefits are small. Benefits are smaller in sham compared with usual care controlled trials and larger in trials of patients with more acute symptoms.
News and Updates for Healthcare Professionals
Interventional Treatments for Acute and Chronic Pain: Systematic Review
NIH HEAL Initiative: Research Meets the Moment to Address the Opioid Public Health Crisis
NIH leadership highlight the results and progress of number strategies to find scientific solutions to address the nation’s opioid crisis.
Final Recommendation Statement: Screening for Prediabetes and Type 2 Diabetes
The U.S. Preventive Services Task Force released today a final recommendation statement on screening for prediabetes and type 2 diabetes. The Task Force recommends screening people ages 35 to 70 with overweight or obesity for prediabetes and diabetes. To view the recommendation, the evidence on which it is based, and a summary for clinicians. The final recommendation statement can also be found in the August 24, 2021 online issue of JAMA.
A Call for Action to Achieve Health Equity
The urgent need to ensure equity in the American healthcare system is the subject of a new AHRQ Views blog authored by members of AHRQ’s National Advisory Council. The COVID-19 pandemic has starkly illustrated healthcare’s existing racial and ethnic disparities. With that in mind, the blog post’s authors—Edmondo J. Robinson, M.D., M.B.A., Peter J. Embí, M.D., M.S., Ramanathan Raju, M.D., M.B.A., and Yanling Yu, Ph.D.—emphasize the need to level the playing field by pursuing economic and social justice. To do so, we must fully understand the role of social determinants of health in outcomes and equity. Given AHRQ’s strength in healthcare data collection and research, the authors wrote, the Agency is in a perfect position to lead this effort. Only through improved integration and coordinated efforts across health and human services do the authors feel the Nation will create a holistic and equitable health care system for all.
Coming Soon: PCD Collection on Health Disparities and Position Statement on Diversity, Equity, and Inclusion
As part of its ongoing efforts to acknowledge, examine, and report on less-explored factors such as social determinants of health, including forms of racism that have resulted in the generational injustices, on August 12 PCD will release an important collection:“ Advancing Health Equity, Eliminating Health Disparities, and Improving Population Health.” Articles appearing in this collection represent 10 papers submitted in response to PCD’s call for papers for the collection, along with 7 articles previously published in the journal. All 17 of these articles underwent the journal’s rigorous peer-review process. In addition, this collection features a position statement on the journal’s commitment to advancing diversity, equity, and inclusion in its scientific leadership, publications, and communication.
Since its establishment in 2004, PCD’s mission has been to promote dialogue among researchers, practitioners, and policy makers worldwide on the integration and application of research findings and practical experience to address health disparities, advance health equity, and improve population health. To be the most successful in this mission requires that PCD adapt to a changing vocabulary and embrace areas of scientific exploration to include not only familiar terms and constructs such as race and ethnicity, health disparities, health inequities, social economic position, and social determinants of health but also all forms of racism, including structural and institutional racism. PCD is well positioned to address chronic disease prevention and health promotion within this changing landscape. This collection, including PCD’s position statement, demonstrates some of the intentional steps the journal has taken to bring attention to these issues. Learn more in the complete PCD collection announcement.
Center for Medicare and Medicaid Innovation (CMMI) 2020 Report to Congress (RTC)
Today, the Centers for Medicare & Medicaid Services (CMS) published the Center for Medicare and Medicaid Innovation’s 2020 Report to Congress (RTC). The Innovation Center is required by statute to report to Congress on its activities, at minimum, every other year. This is the Innovation Center’s fifth RTC and covers activities from October 1, 2018 through September 30, 2020. All of the Innovation Center’s Reports to Congress can be found here
AAKP Patient Impact Statement: FDA APPROVAL OF KERENDIA TO HELP SLOW KIDNEY DISEASE AND FAILURE ASSOCIATED WITH TYPE 2 DIABETES
New Tool Helps Primary Care Practices Screen Patients for Social Needs
AHRQ has developed a new tool to help primary care practices screen and refer patients for social needs such as food or housing, so-called social determinants of health (SDOH) which, when identified, can help tailor care to patients’ circumstances.
The tool helps primary care practices:
- Find resources and information to get started on patient screening and referral
- Consider what approaches work best for their practice
- Understand how to use collected information to address patients’ social needs, tailor care to their circumstances, and maximize reimbursement.
You are subscribed to Primary Care Practice-Based Research Networks for Agency for Healthcare Research and Quality (AHRQ). This information has recently been updated, and is now available.
U.S. Surgeon General on Emotional Well-Being and Fighting the Opioid Epidemic
From September 2019 to September 2020, the Centers for Disease Control and Prevention reported nearly 90,000 overdose deaths in the United States. These latest data on the nation’s opioid crisis offer another stark reminder that help is desperately needed in communities across the land. NIH’s research efforts to address the opioid crisis have been stressed during the pandemic, but creative investigators have come up with workarounds like wider use of telemedicine to fill the gap.
Cognitive Impairment: Medicare Provides Opportunities to Detect & Diagnose
Do you have a patient with a cognitive impairment? Medicare covers a separate visit for a cognitive assessment so you can more thoroughly evaluate cognitive function and help with care planning.
3 Things You Need to Know:
- If your patient shows signs of cognitive impairment at an Annual Wellness Visit or other routine visit, you may perform a more detailed cognitive assessment and develop a care plan
- The Cognitive Assessment & Care Plan Services (CPT code 99483) typically start with a 50-minute face-to-face visit that includes a detailed history and patient exam, resulting in a written care plan
- Any clinician eligible to report Evaluation and Management (E/M) services can offer this service, including: physicians (MD and DO), nurse practitioners, clinical nurse specialists, and physician assistants
Effective January 1, 2021, Medicare increased payment for these services to $282 (may be geographically adjusted) when provided in an office setting, added these services to the definition of primary care services in the Medicare Shared Savings Program, and permanently covers these services via telehealth.
Get details on Medicare coverage requirements and proper billing at cms.gov/cognitive.