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Research Letter
January 14, 2019

Use of the Shared Decision-Making Visit for Lung Cancer Screening Among Medicare Enrollees

Author Affiliations
  • 1Department of Internal Medicine, The University of Texas Medical Branch, Galveston
  • 2Sealy Center on Aging, The University of Texas Medical Branch, Galveston
JAMA Intern Med. Published online January 14, 2019. doi:10.1001/jamainternmed.2018.6405

In early 2015, the Centers for Medicare & Medicaid Services (CMS) initiated reimbursement for low-dose computed tomography (LDCT) screening for lung cancer in individuals aged 55 to 77 years with a 30 pack-year or greater smoking history.1 A unique feature of the CMS approval was a requirement for a separate shared decision-making (SDM) session before the LDCT.1 This visit had several required components, including use of a decision aid and counseling on tobacco abstinence. We used Medicare data from January 1, 2015, through December 31, 2016 to determine the percentage of enrollees who received an LDCT had a visit for SDM.

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