Addressing gaps between payer policies and AASM clinical practice guidelines using scorecards.
| Autor: | Kaplish N; University of Michigan Sleep Disorders Center, Ann Arbor, Michigan., D'Andrea L; Medical College of Wisconsin/Children's Hospital of Wisconsin, Milwaukee, Wisconsin., Auger RR; Mayo Center for Sleep Medicine and Department of Psychiatry & Psychology, Rochester, Minnesota., Gay P; Mayo Clinic, Rochester, Minnesota., Jacobowitz O; ENT and Allergy Associates, New York, New York., Johnson K; Department of Neurology, University of Massachusetts Medical School-Baystate, Springfield, Massachusetts., Lance C; Cleveland Clinic, Cleveland, Ohio., Licis A; Department of Neurology, Washington University School of Medicine, St. Louis, Missouri., Patil S; Johns Hopkins University, Baltimore, Maryland., Summers M; University of Nebraska, Omaha, Nebraska., Vohra KP; Ascension Medical Group, Indiana., Abbasi-Feinberg F; Sleep Medicine Department, Millennium Physician Group, Fort Myers, Florida. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine [J Clin Sleep Med] 2020 May 15; Vol. 16 (5), pp. 811-815. Date of Electronic Publication: 2020 Feb 28. |
| DOI: | 10.5664/jcsm.8410 |
| Abstrakt: | None: The Payer Policy Review Committee of the American Academy of Sleep Medicine launched an initiative to assess the alignment between clinical practice guidelines and private payer medical policies. This article summarizes the importance of the initiative, details the scorecard development process, including an analysis of policy scores and subsequent revisions, and discusses the impact of the scorecards particularly as related to the scorecards on the clinical practice guideline for diagnosis of obstructive sleep apnea in adults. This initiative has increased communication and engagement among members of the Payer Policy Review Committee and private payers, creating opportunities to advocate on behalf of sleep medicine providers and patients with sleep disorders, encouraging payers to modify existing policies so that evidence-based care is provided to patients with sleep disorders. (© 2020 American Academy of Sleep Medicine.) |
| Databáze: | MEDLINE |
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