Still, he said, reimbursement problems and high prices have not slowed industry growth that much.
No reimbursement problems so far, he says.
Du to unresolved reimbursement problems only a minority of German CF centers are able to directly offer psychological interventions to caregivers, and referrals to mental health services are impeded by long waiting lists.
Higher STI screening rates among HIV-positive patients in Germany are likely due to more intense contact with health care providers and fewer reimbursement problems if screening tests are prescribed in the context of health care provision for HIV infection.
Other time issues include: a) time to review patient charts for reimbursement eligibility, b) time to interpret the ODBP guidelines and write compliant prescriptions, c) non-billable time for telephone calls with pharmacists, dealing with reimbursement problems or writing Section 8 letters, and d) time spent waiting for Section 8 approval.
(Group 1, PT 4) "If somebody said to me: "The migraines will disappear if I cut off your hand", then I'd say: Cut off my whole arm!" (Group 3, PT 3) Many patients anticipated reimbursement problems with the healthcare insurance companies when receiving prophylactic therapy (in fact, in the Netherlands, all costs of prophylactic therapies are fully covered by healthcare insurance for all patients).
Difficulties reported by the majority of respondents included the system going down, problems resulting from prescriptions being split with some items coming electronically and some manually, problems with codes not being recognised, problems with claiming reimbursement and problems with nominations.
However, if we could insure them successfully, it would benefit the health insurance fund and solve the reimbursement deficit problem in the long run.
And then, if you look at the same reimbursement and collection problem on the consumer side, there's yet another large untapped opportunity.
"There is a crisis of increased patient volume, decreased reimbursement, professional liability problems and on-call issues".
