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      Proposal for a national coverage determination for the treatment of varicose veins and venous disease due to disparate Centers for Medicare and Medicaid Services local coverage determination policies.

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          Abstract

          Varicose veins and chronic venous disease are common problems in the United States. Persons with these conditions often have an adversely affected quality of life. There are a number of proven interventions to treat varicose veins and to improve patients' life quality, but these interventions are often restricted by the Centers for Medicare and Medicaid Services and private third-party payers. The Centers for Medicare and Medicaid Services have private contractors that administer Medicare policies in 10 jurisdictions across the United States. There is no national policy or coverage for the treatment of varicose veins; rather, there are multiple, disparate regional policies written by the contractors that cover the same Medicare beneficiary population. These disparate policies are not evidence based and provide unfair coverage of the same disease to the Medicare population, depending on where they live. Our proposal is for a national coverage determination policy for the treatment of varicose veins.

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          Author and article information

          Journal
          J Vasc Surg Venous Lymphat Disord
          Journal of vascular surgery. Venous and lymphatic disorders
          Elsevier BV
          2213-3348
          May 2017
          : 5
          : 3
          Affiliations
          [1 ] Lahey Hospital & Medical Center, Burlington, Mass. Electronic address: harold.j.welch@lahey.org.
          [2 ] New York University Langone Medical Center, New York, NY.
          [3 ] The Venous Institute of Buffalo, Amherst, NY.
          [4 ] Monahan Vein Clinic, Roseville, Calif.
          [5 ] Jobst Vascular Institute, Toledo, Ohio.
          Article
          S2213-333X(17)30001-X
          10.1016/j.jvsv.2017.01.001
          28411715

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