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February 18, 2019

Medicare Administrative Contractors (MACs) Will Host a Multi-jurisdictional Contractor Advisory Committee (CAC) via WebEx on March 20, 2019, 1-4 pm EST

The purpose of the meeting is to obtain advice from CAC members and subject matter experts (SMEs) regarding the strength of published evidence on Percutaneous Vertebral Augmentation (PVA) for osteoporotic Vertebral Compression Fracture (VCF). In addition to discussion, the CAC and SME panel will vote on pre-distributed questions. The public is invited to attend as observers.

Ever since two high profile, methodologically controversial, randomized controlled trials (RCTs) found no benefit of percutaneous vertebroplasty over sham in 2009, there has been a lack of consensus on the appropriate management of osteoporotic VCF, particularly the role of PVA. After several recent publications further question the value of PVA, Contractor Medical Directors (CMDs) thought it appropriate to reassess current Medicare coverage. CAC panels do not make coverage determinations, but MACs benefit from their advice.

A participant Disclosure Statement, background material, and tentative questions will be posted by 2/22; the agenda (including final questions and WebEx details) will be posted 3/13/19.


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