PMID- 21976117
OWN - NLM
STAT- MEDLINE
DCOM- 20111114
LR  - 20181201
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 60
IP  - 39
DP  - 2011 Oct 7
TI  - Health plan implementation of U.S. Preventive Services Task Force A and B 
      recommendations--Colorado, 2010.
PG  - 1348-50
AB  - The Patient Protection and Affordable Care Act (PPACA) is aimed at expanding 
      access to health care and lowering cost barriers to seeking and receiving care, 
      particularly high-value preventive care. The legislation requires Medicare and 
      all qualified commercial health plans (except grandfathered individual and 
      employer-sponsored plans) to cover routine preventive services graded A and B by 
      the U.S. Preventive Services Task Force (USPSTF) at no cost to the consumer, 
      along with recommended immunizations and additional preventive care and 
      screenings for women. In 2009, Colorado passed a law with similar USPTF A and B 
      service coverage requirements. To determine how Colorado health plans had 
      interpreted the state and federal law, the Colorado Department of Public Health 
      and Environment (CDPHE) interviewed representatives of commercial health plans 
      serving Colorado residents. The results of those interviews indicated that 
      different health plans interpreted certain USPSTF recommendations differently, 
      including tobacco screening and pharmacotherapy, colorectal cancer screening, and 
      obesity screening and counseling. One health plan communicated the scope, 
      eligibility criteria, and content of the new preventive services coverage to its 
      members or providers. The differences in interpretation of the USPSTF 
      recommendations and limited communication to consumers or health-care providers 
      in Colorado might be repeated in other states. To ensure optimal consumer and 
      health-care provider utilization of preventive service benefits, the preventive 
      services supported by USPSTF A and B recommendations should be clearly defined in 
      health plan benefit language, with processes put in place for consistent 
      implementation and eligibility criteria communicated to both consumers and 
      providers. The experience in Colorado shows that public health organizations can 
      play a key role in successfully implementing PPACA prevention services 
      provisions.
CN  - Centers for Disease Control and Prevention
AD  - Office of Surveillance, Epidemiology, and Laboratory Services, Centers for 
      Disease Control and Prevention, U.S. Department of Health and Human Services, 
      Atlanta, GA 30333, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
SB  - IM
MH  - Adult
MH  - Aged
MH  - Child
MH  - Chronic Disease/prevention & control
MH  - Colorado
MH  - Data Collection
MH  - Female
MH  - Humans
MH  - Insurance Coverage/*legislation & jurisprudence
MH  - Insurance, Health/economics/legislation & jurisprudence/*statistics & numerical 
      data
MH  - Male
MH  - Mass Screening/economics/legislation & jurisprudence
MH  - Medicare/statistics & numerical data
MH  - Middle Aged
MH  - Patient Protection and Affordable Care Act
MH  - Preventive Health Services/economics/*legislation & jurisprudence/*statistics & 
      numerical data
MH  - Primary Health Care
MH  - United States
EDAT- 2011/10/07 06:00
MHDA- 2011/11/15 06:00
CRDT- 2011/10/07 06:00
PHST- 2011/10/07 06:00 [entrez]
PHST- 2011/10/07 06:00 [pubmed]
PHST- 2011/11/15 06:00 [medline]
AID - mm6039a3 [pii]
PST - ppublish
SO  - MMWR Morb Mortal Wkly Rep. 2011 Oct 7;60(39):1348-50.