Guest guest Posted May 18, 2002 Report Share Posted May 18, 2002 This posting is from the hypertension group but I thought it would be of interest to you all. Marianne > Nutrition Supplementation Recognized by Medicare > > S. Randy Sarantos, DDS, MS, ABO, ABOM* > > It was only a matter of time, but something revolutionary happened in > medicine on January 1, 2002. Medicare will recognize and pay for nutrition > therapy for the first time. It is estimated that nutrition benefits will > be available to more than seven million people who have diabetes and kidney > disease (NY Times 1-1-2002) helping them to choose proper foods that can > control or treat their illness and Congress is considering expanding > similar benefits to people suffering from hypertension and other chronic > disease states. This is truly a major shift by government to address > disease control through proper diet and supplementation and opens up major > positive opportunities in patient management. > > Congress was motivated and influenced by a report from the National Academy > of Sciences that pointed out that such nutritional counseling coverage > available to Medicare patients would save money for Medicare and benefit > patients. It is strongly felt that Medicare's coverage will influence > private insurers who are already providing a limited amount of paid > nutrition counseling services into greatly expanding this valuable paradigm > and that all insurance companies will soon follow the example set by > Medicare in recognizing the value of nutrition counseling services to > patients. > > The Department of Health and Human Services estimates that Medicare will > spend $270 million on nutrition therapy benefits in the first 5 years. It > has not yet been estimated the savings that might result from a reduction > in hospital admissions, surgery and other costs which could be substantial. > At the present time Medicare provides health insurance for over 40 million > people who are elderly or disabled in which 6.3 million at 65 years of age > or older have diabetes and could qualify for nutrition counseling. This > represents a staggering 18 percent of the elderly suffering from this > oftentimes deadly disease. In addition, epidemiologist Josef Coresh (John > Hopkins University) reports that eight million people have lost at least > half of their kidney function and are likely to suffer the most severe > nutritional deficiencies. Many with kidney disease become nauseous, lose > their appetite, have serious chemical imbalances, become edematous and > become more susceptible to malnutrition and have a poor metabolism and > overall general health and can be positively helped from nutritional > counseling. > > Like any new paradigm introduced into the Medicare system where hundred of > million-of-dollars of cost are involved certain priorities must be > addressed. Certainly areas such as diabetes, kidney disease, pain > management, cancer support are key areas that require special attention to > help those suffering such maladies. There is no doubt that as the positive > statistics come in as to the efficacy of nutritional counseling, > supplementation and diet control, that eventually more and more areas of > expanded coverage will be included. The hope is that some day that > nutritional counseling will be standard for all disease conditions and even > more important, be considered a standard for the prevention of disease and > not only as a reactive therapy after one is ill. It is clear that we are > at the frontier of recognizing the important role that nutrition can play > in helping mankind in their everyday struggle to maintain proper health and > wellness and that this industry will explode in the months and years ahead > into a major service area. The credibility and endorsement by the Congress > in approving payment for nutrition counseling was one of the breakthroughs > needed to legitimize the importance of this paradigm. Hopefully, the > endorsement by Congress will further motivate the private insurance > industry to further expand its already existing nutrition counseling and > supplementation programs. > > Nutrition therapy is viewed at present as an adjunct to other types of > health care that a patient receives primarily from a physician and a > patient must therefore have a referral from a treating practitioner or > specialist coordinating the patient's care in order for Medicare to pay for > the services of a registered dietitian or other nutrition professional to > assess the patient's needs, provide counseling and develop a treatment plan > to improve the patient's diet. The fact that Medicare has slowly been > expanding the number of preventive health care services which includes > nutrition therapy illustrates a positive trend that recognizes the need for > alternative and preventive therapies such as nutrition and which trend is > expected to continue and be expanded in the future. > > Based on the decision by Congress to recognize the importance of nutrition > counseling and paying for such services, rings the bells and whistles of > the entire health care industry and enormously raises the attention level > of millions of people who heretofore did not really take nutritional > supplementation, proper dieting and lifestyle changes seriously. This > creates enormous opportunities for practitioners everywhere to get involved > in this new health paradigm and start to set up Wellness Programs which can > serve as a platform to better develop a variety of nutrition wellness > services for their patients. More than ever, patients will be looking to > their health care providers to assist them in nutrition counseling and > supplementation not only as an adjunct to standard iatrogenic mechanical > therapies but as alternative preventive and long range maintenance > therapies as well > > We will see a grater demand for inexpensive in-home test kits to utilize > clinical metabolic laboratory testing to better focus and monitor chemical > imbalances and thus more accurately develop custom nutrition that targets > and focuses with greater accuracy on the chemical imbalances detected and > provides the basic nutrients needed to help the immune system and other > specific body systems to restore homeostasis and better health. This is an > explosive area of further growth and fits in well with the goals of > Medicare and other private insurance companies to provide nutrition > counseling and supplementation with the hopes that better health resulting > from such programs will lower present costs of insurance as well as stem > the rapidly rising future costs. It is an area that is wide open for > developing inexpensive in-home test kits for diabetes, kidney disease, > obesity, allergies, osteoporosis and many other disease states that when > utilized by patients and sent directly into the laboratory for analysis of > the targeted body fluids collected would provide a highly accurate and > individualized metabolic analysis from which a customized supplemental > protocol could be provided for such patient at a modest cost. This would > not only be extremely cost effective but would be an important part of an > overall nutrition program for an individual and would be part of the trio > of (1) lifestyle changes and enhancements (2) dietary changes and (3) > targeted and balanced nutritional supplementation. The technology and > wellness concept is in place today to benefit millions of patients and is > waiting for innovative and forward-thinking practitioners to implement such > programs for their patients. > > In summation, a new level and heightened awareness of the benefits of > nutritional counseling is about to explode on the national scene that will > have profound positive health effects in the years ahead in one way or > another on all Americans. That paradigm is nutritional counseling as an > adjunct to maintaining health and wellness as well as being an adjunct to > iatrogenic therapies. The concept is not new but the recognition on a > national and governmental level is! This is where the breakthrough has > occurred and why the momentum once begun will become a groundswell of > enormous proportions. Practitioners must wake up and strongly position > themselves with the knowledge and tools to implement an Office Nutrition > Wellness Program as a necessary and important practice management component > of their practice to meet the coming trend in providing their patients with > nutritional supplementation as an adjunct to iatrogenic mechanical > therapies and programs. I would venture to state that within 10 years that > this will be standard practice in most if not all health practitioners' > offices. Failure to do so will result in losing this important and > valuable health service to outside competing sources and even patients who > will seek practitioners who eagerly have set-up and provide such ancillary > services. > > *Dr. S. Randy Sarantos practiced clinical orthodontics for over 28 years > and is both a diplomate of the American Board of Orthodontics and a > diplomate of the American Board of Oral Medicine. Dr. Sarantos has been > involved in nutrition counseling for over 30 years with special emphasis > on oral manifestations of systemic diseases and has been a long time > advocate of prescribing nutritional supplementation too all patients as a > positive adjunct to iatrogenic treatments particularly in the case of > mechanical therapies performed by practitioners. > > Dr. Sarantos is president of Custom Nutrition Alternatives, Inc. and its > affiliated company Dental Nutrition Alternatives, Inc. Both scientific > research and development companies specialize in creating nutrition > wellness programs for use by health care practitioners for their patients > using cutting-edge scientific technology to help monitor patient > nutritional needs and create custom nutrition products. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 18, 2002 Report Share Posted May 18, 2002 Considering the *horrid* advice on nutrition & diet I received from my local hospital's dietician, I am very sorry money is being allocated to help support these idiots. I strongly suspect that whatever supplements the government will be willing to pay for will be far too little & far too low a dosage. I continue to feel that only by digging deep into one's own pockets & by doing one's own research can anyone hope to improve their quality of life. Alobar - <marianne2406 <FriendsForHealthNaturally >; Saturday, May 18, 2002 11:39 AM Fwd: [hypertension] Medicare will NOW PAY for Supplementation, ie Vitamins, e... > > This posting is from the hypertension group but I thought it would be of > interest to you all. > Marianne > > > > Nutrition Supplementation Recognized by Medicare > > > > S. Randy Sarantos, DDS, MS, ABO, ABOM* > > > > It was only a matter of time, but something revolutionary happened in > > medicine on January 1, 2002. Medicare will recognize and pay for nutrition > > therapy for the first time. It is estimated that nutrition benefits will > > be available to more than seven million people who have diabetes and kidney > > disease (NY Times 1-1-2002) helping them to choose proper foods that can > > control or treat their illness and Congress is considering expanding > > similar benefits to people suffering from hypertension and other chronic > > disease states. This is truly a major shift by government to address > > disease control through proper diet and supplementation and opens up major > > positive opportunities in patient management. Quote Link to comment Share on other sites More sharing options...
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