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News & Press: Advocacy

Iowa member achieves local payer coverage

Wednesday, September 20, 2017   (0 Comments)
Posted by: Emily Bikowski
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Iowa member achieves local payer coverage

By Leslee J. Shaw, PhD, FSCCT, SCCT Co-Chair Advocacy

Enrico Martin, MD, Iowa Heart Center, is a proactive grassroots advocate who firmly believes that clinicians need to get involved in educating payers about cardiac CT.

His efforts to build relationships with payers and improve coverage policies recently paid off, when he convinced his local payer, Wellmark Blue Cross and Blue Shield, to waive prior authorization requirements for cardiac CT. 

"I'm hoping that our experience will set the stage for easing up on the burden of

preauthorization and also show clinicians the importance of policing ourselves and doing the right thing,” said Dr. Martin.

Here, Dr. Martin shares his experiences and recommendations with fellow SCCT members through a slide deck.

SCCT is grateful to Dr. Martin for his proactive engagement, which has helped ensure the availability of cardiac CT for appropriate patients.

Download the slide presentation                                                                                                                                                                                                                                                                                                                                                                                        Enrico Martin, MD