Comments, Opinions, and Brief Case Reports | Health Care Reform

Diffusion of Computer-Aided Mammography After Mandated Medicare Coverage

Joshua J. Fenton, MD, MPH; Susan Bartlett Foote, JD, MA; Pamela Green, PhD; Laura-Mae Baldwin, MD, MPH
Arch Intern Med. 2010;170(11):987-989. doi:10.1001/archinternmed.2010.104.
Text Size: A A A
Published online


When signed into law in 1965, Medicare was envisioned as a safety net to protect seniors from catastrophic financial loss following acute illness or hospitalization.1 At that time, medical care for older adults consisted predominately of illness care,2 and preventive care was not viewed as an essential component of the Medicare program. Indeed, the Medicare statute explicitly excluded coverage of preventive services.3 Although recent legislation (the Medicare Improvements for Patients and Providers Act [MIPPA] of 2008) empowered the Centers for Medicare and Medicaid Services (CMS) to add Medicare coverage for preventive services under specific conditions,4 addition of Medicare coverage for preventive services previously required Congressional action.3 This requirement made it possible for nonscientific interests to influence coverage policy.

Figures in this Article

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption
Figure 1.

Prevalence of computer-aided detection (CAD) use, 2001 to 2003. Error bars denote 95% confidence intervals.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.

Percentage of screening mammograms that were interpreted with computer-aided detection (CAD) by Surveillance, Epidemiology, and End Results (SEER) region, 2003, adjusted for patient age, race and ethnicity, median household income (of elderly householders residing within same zip code as patient), and rural vs urban residence. Error bars denote 95% confidence interval.

Graphic Jump Location




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 7

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics