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PET Impact on Medicare Costs
Summary for the U.S. Medicare Population for Indications from Recent Multi-center Studies
The use of PET in just the 4 indications described in the ICP
cost-effectiveness studies for the U.S. Medicare population would result in
a total gross savings (excluding the cost of providing PET) of:
- Total U.S. Medicare Savings: $1.6 billion per year
The number of invasive procedures and other diagnostic procedures which
would be eliminated are:
- Procedures Eliminated: 189,162 per year
The number of PET studies per year required for the four indications
described would be:
- Total PET Studies per Year: 388,951 studies
At a projected average cost of $1000 per PET study, the total net savings to
Medicare for the 4 indications detailed would be:
- Total Projected Net Cost Savings: $1.2 billion per year
At the current average proposed PET Medicare reimbursement rate of $1790 per PET study, the total net savings to Medicare would be:
- Total Current Net Cost Savings: $0.9 billion per year
Note that this information is only for the indications described in the
initial cost-effectiveness PET studies. Additional significant savings are
likely as additional cost-effective indications are developed. In addition,
these cost savings do not include the additional cost savings due to
complications inherent in invasive procedures. Further, no quantifiable
benefit is included for the increased mortality and morbidity associated
with invasive procedures.
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