Cornerstone Pediatrics, Prescott Arizona
The area Cornerstone serves has been designated a high-risk zone for lead poisoning by the Arizona Department of Health Services. Repeated efforts to increase compliance for reference lab testing failed. Already overburdened parents found the extra trip for testing too difficult. So Cornerstone began a new protocol using rapid, in-house testing for both lead and anemia for all age-appropriate children -- even though only one of the area Medicaid MCOs reimbursed them for performing the tests. Compliance for mandated blood-lead testing rose from near zero to nearly 100 percent. In approximately four months, Cornerstone tested 110 children and identified a number of children with anemia and/or elevated levels of blood-lead -- diagnoses that would have eluded them before. Cornerstone also increased prevention-education efforts, providing in-office counseling and take-home information. The program's success has been so compelling, that the second Medicaid MCO has agreed to begin LeadCare II reimbursements this month.
Whitney M. Young, Jr. Health Services (Albany and Troy, New York)
Federally Qualified Community Health Centers (FQHCs) are another obvious place to do three-minute lead testing, since the population they serve is at high risk for lead poisoning. Unfortunately, most FQHCs have limited funds for capital purchases and often need to find other resources to provide testing services outside of reference laboratory contracts that are supposed to cover blood-lead testing. The reality is that transportation issues and other barriers for families mean these critical lab tests are not getting completed. This is one reason that New York State Medicaid changed its policy last year to require plans that serve Medicaid children to reimburse healthcare providers when they perform LeadCare II testing. In December 2010, Santa cam
|SOURCE Magellan Biosciences|
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