| 查看: 1036 | 回复: 9 | |||
[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. |
回复此楼» 猜你喜欢
欢迎发来filecode的Mz6后的代码验证其规律
已经有102人回复
-
重要消息，中午系统在维护
已经有6人回复
-
时间戳又变了8-15
已经有26人回复
-
售SCI-T0P文章，我:8O.5.5.1.O.54,科目齐全,可+急
已经有4人回复
-
今天维护系统维护 祝所有人 高中
已经有9人回复
-
哪位老哥知道今年的国自然具体哪一天放榜？
已经有16人回复
-
2027广东省杰青
已经有8人回复
-
快农历七夕节了，轻松一下，男人悄悄话，女施主请不要进来。
已经有5人回复
-
投稿咨询
已经有5人回复
-
时间戳变了，能看出什么问题？
已经有6人回复
★
小木虫(沙发+1，金币+0.5):恭喜抢个沙发，再给个红包
小木虫(沙发+1，金币+0.5):恭喜抢个沙发，再给个红包
 |
2楼2011-03-10 10:31:30
★
小木虫(金币+0.2):抢了个小板凳，给个红包
小木虫(金币+0.2):抢了个小板凳，给个红包
 |
3楼2011-03-10 10:31:46
 |
4楼2011-03-10 10:32:05
 |
5楼2011-03-10 10:32:39
lppv
荣誉版主 (文坛精英)
无与伦比俱乐部部长
- ESEPI: 42
- 应助: 5 (幼儿园)
- 贵宾: 2.158
- 金币: 9455.2
- 散金: 21883
- 红花: 262
- 沙发: 257
- 帖子: 29946
- 在线: 3646.7小时
- 虫号: 937152
- 注册: 2010-01-05
- 性别: MM
- 专业: 无机合成和制备化学
- 管辖: English Cafe
6楼2011-03-10 11:17:43
xuediandongxi
铁杆木虫 (著名写手)
- ESEPI: 13
- 应助: 5 (幼儿园)
- 金币: 5466.3
- 散金: 190
- 红花: 8
- 沙发: 30
- 帖子: 2362
- 在线: 619.2小时
- 虫号: 365730
- 注册: 2007-05-09
- 性别: MM
- 专业: 环境化工
7楼2011-03-10 16:59:52
|
|
8楼2011-03-10 17:00:47
9楼2011-03-10 17:03:45
zhangluyin
铜虫 (正式写手)
- ESEPI: 14
- 应助: 0 (幼儿园)
- 金币: 402.8
- 散金: 201
- 红花: 3
- 沙发: 7
- 帖子: 803
- 在线: 105.8小时
- 虫号: 1034949
- 注册: 2010-06-03
10楼2011-03-10 20:49:26
