Go Back   ISPINE.ORG Forum > Main forums > iSpine
Register FAQ Members List Calendar Search Today's Posts Mark Forums Read

iSpine Discuss SAS-11 - Insurance changes, big news in the Main forums forums; The first session this morning was for cervical ADR. One of the presenters mentioned that for many of his work ...

Reply
 
LinkBack Thread Tools Display Modes
  #1 (permalink)  
Old 04-27-2011, 06:02 PM
mmglobal's Avatar
Administrator
 
Join Date: Sep 2006
Posts: 2,508
Default SAS-11 - Insurance changes, big news

The first session this morning was for cervical ADR. One of the presenters mentioned that for many of his work comp cases, some of the insurance companies are now ASKING for ADR instead of fusion. His presentation included cost-benefit analysis and one of the most stand-out figures was the return to work time. 14 days cervical ADR versus 60 days fusion!!!

I bumped into one of my favorite surgeons, Frank Coufal. He told me that just YESTERDAY, he received a letter from United Health Care stating that they have changed their policy and will be covering single-level cervical ADR when appropriate.

They have finally realized that the outcomes are better and true costs are lower (even if the implant is more expensive).

We knew that cervical was being adopted faster than lumbar, but these 'wins' for the industry, while unreasonably later, are still huge and welcome news.

Mark
__________________
1997 MVA
2000 L4-5 Microdiscectomy/laminotomy
2001 L5-S1 Micro-d/lami
2002 L4-S1 Charite' ADR - SUCCESS!
2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova
Summer 2009, more bad thoracic discs!
Life After Surgery Website
President: Global Patient Network, Inc.
Founder: www.iSpine.org
Reply With Quote
  #2 (permalink)  
Old 04-28-2011, 11:56 AM
Senior Member
 
Join Date: Sep 2006
Posts: 2,405
Default wow!

This is great news.. I think I'll see about having my neck checked out!
Reply With Quote
  #3 (permalink)  
Old 04-28-2011, 02:09 PM
Senior Member
 
Join Date: Oct 2006
Location: arizona
Posts: 255
Default

That's terrific! It is a decision that will affect many lives--positively!
Sure wish it was retroactive...
Reply With Quote
Reply

Bookmarks

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are On



All times are GMT. The time now is 06:42 PM.


Powered by vBulletin® Version 3.7.2
Copyright ©2000 - 2017, Jelsoft Enterprises Ltd.