Screening: Osteoporosis






Osteoporosis affects 10.2 million American women and another 43.4 million are suffering

from low bone density. Hip fractures caused by osteoporosis are the most devastating and

debilitating type of bone break, with an average of 300,000 hip fractures a year.




With accurate, cost-effective diagnostic tools and inexpensive treatments that reduce

fractures, osteoporosis screenings are a simple solution that can greatly improve health

outcomes for many seniors. Dual-energy X-ray absorptiometry (DXA) bone density screenings

are a highly predictive, noninvasive test for osteoporosis and are more accurate in predicting fractures than

cholesterol is in predicting heart attacks
or blood pressure is in predicting strokes. DXA

screenings are the gold standard for osteoporosis screening.



Over the last few years, the Centers for Medicare and Medicaid Services has steadily

decreased the reimbursement rate to providers for DXA screenings, making it harder for

doctors to offer them in their offices. As a result, over 8,000 fewer providers are offering the

service, limiting patient access to this crucial screening.










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One in Two Women


One in two women and up to one in four men over age 50 will break a bone due to osteoprosis.


Source



X







Source:

https://cdn.nof.org/wp-content/uploads/2015/12/Osteoporosis-Fast-Facts.pdf



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A Woman’s Risk



A woman’s risk of a hip fracture resulting from osteoporosis is equal to her combined risk of breast, uterine and ovarian cancer.


Source



X







Source:

https://cdn.nof.org/wp-content/uploads/2015/12/Osteoporosis-Fast-Facts.pdf



4


DXA Screenings



Every 90 DXA screening avoids one hip fracture, every 450 saves one life.


Source



X






Source:

Peter M. Steven, PhD analysis of Medicare PSPS Master Files and Medicare 5 Percent Sample LDS SAF



5



Osteoporosis Screenings



Osteoporosis screenings are covered in your Welcome to Medicare visit but cuts in Medicare have resulted in 36% fewer clinicians offering them in their offices.


Source



X




Source:

Peter M. Steven, PhD analysis of Medicare PSPS Master Files and Medicare 5 Percent Sample LDS SAF


Source:
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/MPS_QRI_IPPE001a.pdf





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1 Direct Research LLC, Medicare PSPS Master Files and Medicare 5 Percent Sample LDS SAF, analysis by Peter M. Steven, PhD



2 Direct Research LLC, Medicare PSPS Master Files and Medicare 5 Percent Sample LDS SAF, analysis by Peter M. Steven, PhD