PSA: Non-Recommended PSA-Based Screening in Older Men
Percentage of men 70+ WITHOUT PSA screening test. Lower screening = better per USPSTF.
Measure description
Percentage of men 70+ WITHOUT PSA screening test. Lower screening = better per USPSTF.
Eligible population
Men 70+ with no prostate cancer history
Performance drivers
USPSTF D recommendation for age 70+.
Documentation & PA strategy
Don't order screening PSA in men 70+ without shared decision-making documentation.
Why HEDIS matters for prior authorization
Health plans align prior authorization criteria with HEDIS measures: documenting your patient meets the HEDIS definition often streamlines or eliminates PA hurdles. For Medicare Advantage in particular, plans are heavily incentivized via Star Ratings to push members and providers toward measure compliance, which translates into faster approvals for measure-aligned services.
Frequently asked questions
What does HEDIS measure PSA measure?
Percentage of men 70+ WITHOUT PSA screening test. Lower screening = better per USPSTF.
What drives performance on this measure?
USPSTF D recommendation for age 70+.
How should clinicians document for this measure?
Don't order screening PSA in men 70+ without shared decision-making documentation.
What is the eligible population?
Men 70+ with no prostate cancer history
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