Proton Beam Therapy Blog

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October 7, 2017

Recalcitrant Insurnce Companies
Break the Law and Kill People

It is a full-time job to try to keep up with the battle with insurance companies and their refusal to cover proton therapy. While there are some rays of hope, the overall situatio continues to be glum.

One frontier for gaining insurance coverage for proton therapy is state law. A number of states have passed laws against holding proton therapy to a higher standard than other modalities. But even in those states, insurance companies continue to ignore (which is to say, break) the law. This article is an update on several such cases, plus other on going insurance issues.
(Go to full article.)

October 9, 2017

Insurers: Fight Cancer, Not Me

Insurance is a major consideration when seeking treatment with proton therapy. Most centers have an energetic staff with expertise in squeezing out every last drop of coverage. Any innovative new technology faces an uphill battle for government approval and insurance acceptance. Medicare said yes long ago, but insurance companies balk at high payments, seeking alternatives by claiming x-rays are as effective as proton therapy. (See my blog about criminal activity on the part of insurance companies who deny coverage: blog.InsuranceCriminals.html.)

Now, a new organization has been formed to advocate for insurance coverage: The Alliance for Proton Therapy Access. Their motto is the title of this blog: "Insurers: Fight Cancer, Not Me".
(Go to Full Article.)

October 11, 2017

High numbers, Bankruptcies, and Fraud Impede Proton Therapy Developments

I’m not a mathematician, but I love numbers. When it comes to huge projects such as building and operating proton therapy centers, the numbers have to work. Just because you predict success and profit, doesn’t mean it will follow. In a number of instances, the numbers didn’t work, and led to failure. Below, in this rather long article, I cover a number of topics, all related to numbers.
(Go to Full Article.)

Februay 8, 2017

Getting Insurance to Pay for Proton Therapy

For all medical issues, insurance is a critical consideration, such that in my book I have two chapters on the subject. For those who prefer to do their own research or aren't able to benefit fro what I have written, I have included in the discussion below the general principles and links to the sources I found helpful.
(Go to full article.)


February 1, 2017

The Superiority of Proton Therapy

Proton beam therapy is the wave of the future because of its accuracy and reduced side effects. Can x-rays and surgery achieve the same results? Some radiologists make that claim, but the statistics say otherwise. Urologists often call surgery the "gold standard," yet that does not prove to be the case. Some critics say protons are unproven, een though 160,000 people have been treated worldwide and new centers are being built all around the country at great cost.
(Go to full article.)


January 1, 2017

It all started with my PSA numbers

Prostate problems are usually diagnosed based on increasing PSA numbers (Prostate Specific Antigen). The PSA, a protein, is an antigenic enzyme released by the prostate and found in abnormally high concentrations in the blood of men with prostate cancer. An antigen is any substance that causes an immune system to produce antibodies against it. Usually the response is very specific which can idetify the source, in this case, the prostate. A simple blood test can determine the PSA. Any amount could imply a problem, but a low number can often go untreated for a long time. Thus, one approach to a rising PSA number is called watchful waiting. In many cases, some response is eventually needed. Responding too soon or two aggresively may not comprise medical necessity.
(Go to full article.)

 

 

 

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