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The Big File All issues not easily categorized in the above forums are here. Comments on general health, diet, "getting comfortable," and more are here. |
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#11
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I agree completely tricia. I would look at it as if I am the insurance company trying to find reasons to defend the denials. The more that the FDA requirements are meet by the patients, the less they will have to defend their reasoning for denial. and thus, like you said, more attention will be on the fact that their denials are unjust.
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Car Accident Oct 2002 DDD L5-S1 July 2003 Disk rupture L5-S1 June 2005 Charite @ L5-S1 6-28-06 Dr. Shonnard Very Happy with My new back!! |
#12
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We're missing the boat on this one. Ins. co deny coverage because to date, no study has been done showing superior results, only equivelancy, to fusion, as required for FDA approval. We can shout from the rooftops but until 'something' demonstrates any improvement over fusion... and until the price of the implants themselves are reduced by the equally greedy distributors, ins co's are choosing the lesser of two evils, and an equivilant procedure.
As I've said before, a study needs to be done to prove superiority of adr's over fusion. I've also heard that ins co don't like to cover anything for the first 5 years???? So include the manufacturers in your letter writing campaign to conduct such a study. Good luck to all, Dale |
#13
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Good point Dale.
The Europeans didn't do us any favors as they conducted retrospectives, IMO, w/limited variables in meta-studies. Be well, ans
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Severe, extensive DDD, considered inoperable by Dr. Regan, Lauressen, & some guy at UCLA. Severe foraminal stenosis (guess they can't operate!) and some spinal cord compression that Lauryssen would fix if gets outta hand. |
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