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I should clarify. Medicare does cover DEXA scans every two years for post-menopausal women as preventative care, likely ordered by a PCP. However, the scope of the challenge seemed to be limited to patients who suffered a fracture and preventing new ones. Therefore, I limited my journey mapping to those patients who suffered there first, thinking fracture prevention for every individual was beyond the scope of the challenge. My only wish was more time to prepare and fine tune things, as professional obligations limited how much I could work on this. The designer’s lament. I plan on continuing work on this after today, regardless of the outcome, and plan on reaching out to several local health systems (one being an academic/research hospital) to see if there is interest in collaboration.

Thank you for replying. I think one reason the burden is put on primary care physicians relates to Medicare Part B covering the DEXA scan. Because Medicare B only covers outpatient care, and because a patient might be classified as "inpatient" while they are in the hospital and during rehabilitation, the primary care physician may be the first person to examine the patient as an "outpatient." Thus, the responsibility falls on the PCP, as she may be the first one who can actually bill Medicare for the test. In terms of why I meet next to further the idea, the obvious would be help connecting with a health system to pitch the idea for trial.