In a comment letter to Centers for Medicare and Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure, Partnership to Improve Patient Care (PIPC) Chairman Tony Coelho offered feedback on CMS’ National Coverage Determination (NCD) for Lung Cancer Screening with Low Dose Computed Tomography (LDCT).
Chairman Coelho reiterated the importance of clear guidance at CMS to facilitate shared decision-making. With respect to the NCD, the letter expresses concerns that the rigid SDM requirements and criteria for lung cancer screening coverage could have the unintended effect of hindering screening access and uptake. “Consistent with this recommendation, CMS has an opportunity to act on the broader recommendations of organizations representing patients and people with disabilities articulated in prior communications to the agency related to SDM.,” wrote Chairman Coelho. “A patient-centered approach is beneficial and appropriate across cancer screenings.”