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小木虫论坛-学术科研互动平台 » 科研生活区 » English Cafe » Today‘s news » 【Share】The Hidden Costs of Genetic Testing
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winzhouyun

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[交流] 【Share】The Hidden Costs of Genetic Testing

   Microarray, chromosome analysis, metabolic studies, and mitochondrial DNA analysis are a few of the tests used clinically for prenatal, postnatal, and adult studies of potential genetic diseases. Many are expensive tests and most require preapproval from Insurance or funding agencies, unless the patient pays personally.

    Preapproval requires proper coding, some diseases do not fit standard codes, and reviewing agencies are quite concerned about the costs of testing. Reviewers may not understand the neccesity of the test and will require multiple letters of explanation. Denial rates are hard to determine, but subjectively they are frequent. Also, the patient must pay the deductible when applicable.

    Prior to ordering genetic testing is important that patient be aware of the cost and the preapproval process. Many hospital laboratories refuse to draw the studies without a fee, which the patient may have to pay, and a quarantee that the laboratory will be reimbursed. This is especially a problem for studies sent out of State.

     Preapproval requires a great deal of time, and routinely falls on the Genetic Counselor. It is expensive in terms of person hours and it does not get reimbursed. Patients and their family are often angry about denial of testing, and worry about their medical care without a diagnosis.

     There are no easy solutions, awareness is the first step. Hospital administrators, Pathologists, and groups like the American College of Medical Genetics will need to support efforts to convince funding agencies to understand the importance of this testing for disease prevention and treatment. Early intervention and prevention can save money for these companies and agencies. Genetic testing of at-risk and affected individuals is becoming the standard of care. These hidden costs are denying individuals appropriate counseling and treatment.
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1楼 2011-03-10 10:31:17
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liubing041
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2楼2011-03-10 10:31:30
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liubing041
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3楼2011-03-10 10:31:46
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4楼2011-03-10 10:32:05
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5楼2011-03-10 10:32:39
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lppv

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1 2 3 4 floors, all phizs, sigh....

but i also do not know what to say about such a topic.gene is really profound.
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人活着好没意思啊
6楼2011-03-10 11:17:43
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xuediandongxi

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Thanks for your post. But it is hard for me to fully understand such long report. There are some terms I do not know their meanings clearly. And I have not the background knowledge of biology at all. So could you rewrite it using your own language before you post it here next time?
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7楼2011-03-10 16:59:52
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远古雪松
8楼2011-03-10 17:00:47
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winzhouyun

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引用回帖:
Originally posted by xuediandongxi at 2011-03-10 16:59:52:
Thanks for your post. But it is hard for me to fully understand such long report. There are some terms I do not know their meanings clearly. And I have not the background knowledge of biology at al ...

thanks for ur advice
i'll try next time
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9楼2011-03-10 17:03:45
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zhangluyin

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some difficult to understand it. maybe I should enrich my biology knowledge or improve my English
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投向蓝天，你就是白云
10楼2011-03-10 20:49:26
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