Macha & Mcdonough Screening Case Study

You did a great job summarizing the essentials of screening outlined by Macha & McDonough. The other significant factor to consider with screening programs is the insurance companies perspective and will they cover for screenings? Typically, a patient has to have significant symptoms and/or additional risk factors ( comorbidities) before the will pay for testing. I have experienced this first hand in practice as a nurse practitioner. I sometimes cannot get a simple lipid profile covered or if I want to screen for an abdominal aortic aneurysm in a male older than 65 years old and has smoked with known coronary artery disease, this may not be covered on some insurance plans. The majority of the time, the patient will not pay out of pocket