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Some of the problems appear inherent to California's workers' compensation programs, which can be difficult to navigate and often rely on precise guidelines for treatment approval.
Invitation to participate was mailed to the patients together with the treatment approval letter.
Such questionnaires might be a useful addition to clinical trials to justify a treatment approval.
Examples of clinical personnel include HC staff, the regional TB program director, and the regional treatment approval committees, composed of pulmonologists and clinicians.
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This was often combined with delayed treatment approvals which affected continuity of care.
Conversely, poor insurer communication, customer service and delayed treatment approvals were identified as key areas of concern.
The first was that patients had "difficulty completing managed care tasks" (involving issues such as getting a referral; clarifying copayment levels; finding knowledgeable and helpful MCO staff; and getting assistance with paperwork, billing, and treatment approvals).
In July, for example, a former pathologist at the Medical University of South Carolina pleaded guilty to illegally processing and shipping stem cells for treatment without approval from the university or the Food and Drug Administration.
In May a Food & Drug Administration advisory panel recommended the treatment for approval, which could come by year-end.
Determinants of access to treatment, including approval process, pricing decision and funding need to be improved in LA.
By setting a fixed period of patent exclusivity after such treatments win approval (and not when the drug is first identified), the bill would give drug developers more time to recover costs and make profits.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com