Medical and Medicare-Paid Pharma and Cancer genetic tests

For Medical and Medicare Paid Pharma and Cancer genetic tests in the USA , contact Connie at motherhealth@gmail.com or text 408-854-1883

Medicare coverage of genetic services. Under Medicare’s guidelines, BRCA1 and BRCA2 genetic testing is covered for people with: A personal history of breast cancer, with one or more of the following: … a close relative with a known BRCA1 or BRCA2 gene mutation.

Medicare coverage of genetic services

Under Medicare’s guidelines, BRCA1 and BRCA2 genetic testing is covered for people with:

  1. A personal history of breast cancer, with one or more of the following:
    • diagnosed at or before age 45, with or without family history
    • diagnosed at or before age 50 or two breast primaries, with 1 or more close blood relative(s) with breast cancer diagnosed at or before age 50 or 1 or more close blood relative(s) with ovarian cancer/fallopian tube/primary peritoneal cancer
    • two breast primaries when first breast cancer diagnosis occurred prior to age 50
    • diagnosed at any age, with 2 or more close blood relatives with breast and/or epithelial ovarian/fallopian tube/primary peritoneal cancer, at any age
    • close male blood relative with breast cancer
    • personal history of epithelial ovarian/fallopian tube/primary peritoneal cancer
    • of a certain ethnicity associated with higher mutation frequency, (eg, founder populations of Ashkenazi Jewish, Icelandic, Swedish, Hungarian or other) no additional family history required
    • a close relative with a known BRCA1 or BRCA2 gene mutation
  2. Personal history of epithelial ovarian/fallopian tube/primary peritoneal cancer.
  3. Personal history of male breast cancer.

Medicare operates on a regional system in which Medicare Area Contractors (MACs) manage the provision of health services for a specific jurisdiction. In the spring of 2015, four MACs expanded their coverage to better align their services with National Comprehensive Cancer Network (NCCN) guidelines in a number of important areas, including:

  • Expanding coverage of genetic testing for individuals who have or had cancer consistent with hereditary cancer syndromes, including men diagnosed with prostate cancer and men and women diagnosed with pancreatic cancer,
  • Coverage of multigene testing panels if more than one mutation may be indicated, and
  • Clarification of the BRCA testing policy for use of the targeted therapyLynparza (olaparib).

It is important to note that these policy changes apply only to states covered by the four MACs:
Arkansas, Arizona, California, Hawaii, Idaho, Kentucky, Montana, Nevada, North Carolina, North Dakota, Ohio, Oregon, South Carolina, South Dakota, Utah, Virginia, Washington, West Virginia and Wyoming

Medicare does not currently cover the cost of genetic testing in individuals who do not have a personal history of cancer.

Healthcare company to increase user satisfaction and reduce costs

Amazon, the world’s ubiquitous online store, revealed today it is collaborating with Warren Buffet, who heads Berkshire Hathaway, and the bank JPMorgan Chase to build an independent, nonprofit healthcare company with the goal of increasing user satisfaction and reducing costs.

The first order of business, the partners announced, is focusing on technology solutions that will provide U.S. employees and their families simplified, high-quality and transparent healthcare at a reasonable cost. They plan to draw on their combined capabilities and resources to take a fresh approach.

“The ballooning costs of healthcare act as a hungry tapeworm on the American economy,” Buffett said in a statement. “Our group does not come to this problem with answers. But we also do not accept it as inevitable.”

Amazon CEO Jeff Bezos added that the partners are entering into the challenge aware that it will be difficult.

“Hard as it might be, reducing healthcare’s burden on the economy while improving outcomes for employees and their families would be worth the effort,” Bezos said in a statement. “Success is going to require talented experts, a beginner’s mind, and a long-term orientation.”

JPMorgan Chase CEO Jamie Dimon added that people want transparency and more control over their own healthcare and the partners intend to work toward that for their own employees initially and potentially for all Americans.

 Medicare Patient Condition Demographics

  Medicare Patient Condition Demographics, sample

  • Percent of Patients with Atrial Fibrillation: 12% 
  • Percent of Patients with Alzheimer’s Disease or Dementia: 25% 
  • Percent of Patients with Asthma: 10% 
  • Percent of Patients with Cancer: 7% 
  • Percent of Patients with Heart Failure: 35% 
  • Percent of Patients with Chronic Kidney Disease: 38% 
  • Percent of Patients with Chronic Obstructive Pulmonary Disease: 20% 
  • Percent of Patients with Depression: 22% 
  • Percent of Patients with Diabetes: 51% 
  • Percent of Patients with Hyperlipidemia: 59% 
  • Percent of Patients with Hypertension (High Blood Pressure): 75% 
  • Percent of Patients with Ischemic Heart Disease: 60% 
  • Percent of Patients with Osteoporosis: 9% 
  • Percent of Patients with Rheumatoid Arthritis / Osteoarthritis: 43% 
  • Percent of Patients with Schizophrenia / Other Psychotic Disorders: 7% 
  • Percent of Patients with Stroke: 13%

Based on the above sample health data from a family medicine doctor, the major illness is vascular and cardio related that can be attributed to lifestyle and nutrition.

Our young generation should find a way to prevent the above health issues when they turn 55 years of age or before.

Whole foods, adequate sleep, avoidance of toxins that can cause inflammation, exercise and quality supplementation from:

http://www.clubalthea.pxproducts.com

Health coaching from Connie comes with your order of any of the AGELOC products at the site above.

We are looking for business partners for the nutrition test business, with only less than $3k start up. Email motherhealth@gmail.com

You are also invited to refer senior clients who needs caregivers for referral fee or profit share.

 

Medicare reimburses cognitive and functional assessments and care planning

Medicare reimbursement rules

Under new Medicare reimbursement rules, cognitive and functional assessments and care planning for individuals with Alzheimer’s disease and other cognitive impairment are covered. The Alzheimer’s Association has created a toolkit for physicians with materials on assessing older adults’ functioning, the severity of their condition, neuropsychiatric symptoms, their safety at home and in outside settings, and the kind and extent of available caregiving support.

Alzheimer’s disease

Email your suggestions on caregiving, senior safing homes, whole foods and supplementation, exercise and other support and resources for Alzheimer’s and other cognitive impairment health issues.

Wellness assessment

We have nutrition testers for doctors to include as one of their toolkits to encourage families to up intake of colored whole foods and quality supplementation to fight inflammation. Email motherhealth@gmail.com
See Dr Oz Pharmanex scanner in YouTube.

http://www.clubalthea.pxproducts.com

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Caregiving to provide help and respite care for families

Email your info to motherhealth@gmail.com to be added in the list of resources per cities.

 

Are you a US doctor with more than 10 Medicare patients?

ACO 1Calling all US doctors with at least 10 Medicare patients to join us as ACO participant.

Please join Wellness ACO LLC, a start up ACO health care provider, an organization serving Medicare patients that is seeking doctors with profit sharing.  Must have at least 10 Medicare patients. The government requires 5000 Medicare patients before they give a license.

Let us help the government cut health care costs as a team provider.

Email motherhealth@gmail.com

card motherhealth

An accountable care organization (ACO) is a healthcare organization that ties payments to quality metrics and the cost of care. ACOs in the United States are formed from a group of coordinated health-care practitioners. The ACO adopts alternative payment models (e.g., capitation). The ACO is accountable to patients and third-party payers for the quality, appropriateness and efficiency of its services. According to the Centers for Medicare and Medicaid Services (CMS), an ACO is “an organization of health care practitioners that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it”