Re: Where the HELL do they (Lipsky and Berendt) get $50,000 for a full course of HBOT for wound healing?

February 17, 2011

Please post the full text of the article.

Diane

>

> I just ran across this:

>

> " But there are concerns. HBOT is available in only a minority of

communities, is very expensive (a full course of treatment in the U.S.

typically costs $50,000 [Medicare] to $200,000 [private pay]), and is

time-consuming (an average of 60 total hours in the chamber "

>

> " Hyperbaric Oxygen Therapy for Diabetic Foot Wounds: Has hope hurdled

hype? "

> A. Lipsky and R. Berendt

> Diabetes Care April 28, 2010 vol. 33 no. 5 1143-1145

>

> If this had been published in 1990, I might have accepted 50-200,000.

But a 60-session course, I'm assuming at essentially a 1.5 ATA

protocol, at prices that tte quoted to me in late 2009 is under

$20,000. How the hell do they get even $50,000? Are are Lipsky and

Berendt people who have a bias like appears to regarding brain

injury? Or are they just woefully ignorant about current costs? Anyway,

didn't the " Hyperbaric Medicine Prohibition " article say

that CMS just reduced reimbursement to around $200 per session? That

works out to " only " $12,000 for a 60-session course.

>

> Jim

>

February 17, 2011

We paid $140.00 per session (1 1/2 hr) 40 sessions. $5,600.00 and worth every

penny.

medicaid

From: dpechenick@...

Date: Thu, 17 Feb 2011 13:33:28 +0000

Subject: [ ] Re: Where the HELL do they (Lipsky and Berendt) get

$50,000 for a " full course " of HBOT for wound healing?

Please post the full text of the article.

Diane

>

> I just ran across this:

>

> " But there are concerns. HBOT is available in only a minority of

communities, is very expensive (a full course of treatment in the U.S.

typically costs $50,000 [Medicare] to $200,000 [private pay]), and is

time-consuming (an average of 60 total hours in the chamber "

>

> " Hyperbaric Oxygen Therapy for Diabetic Foot Wounds: Has hope hurdled

hype? "

> A. Lipsky and R. Berendt

> Diabetes Care April 28, 2010 vol. 33 no. 5 1143-1145

>

> If this had been published in 1990, I might have accepted 50-200,000.

But a 60-session course, I'm assuming at essentially a 1.5 ATA

protocol, at prices that tte quoted to me in late 2009 is under

$20,000. How the hell do they get even $50,000? Are are Lipsky and

Berendt people who have a bias like appears to regarding brain

injury? Or are they just woefully ignorant about current costs? Anyway,

didn't the " Hyperbaric Medicine Prohibition " article say

that CMS just reduced reimbursement to around $200 per session? That

works out to " only " $12,000 for a 60-session course.

>

> Jim

>

February 17, 2011

I took my son to a clinic in Madison, WI and they have grants that helped with

the cost.Â It was only $2000-$3000 for 40 sessions.Â Just an FYI:)

________________________________

From: hbotforhealth <dpechenick@...>

medicaid

Sent: Thu, February 17, 2011 7:33:28 AM

Subject: [ ] Re: Where the HELL do they (Lipsky and Berendt) get

$50,000 for a " full course " of HBOT for wound healing?

Â

Please post the full text of the article.

Diane

>

> I just ran across this:

>

> " But there are concerns. HBOT is available in only a minority of

communities, is very expensive (a full course of treatment in the U.S.

typically costs $50,000 [Medicare] to $200,000 [private pay]), and is

time-consuming (an average of 60 total hours in the chamber "

>

> " Hyperbaric Oxygen Therapy for Diabetic Foot Wounds: Has hope hurdled

hype? "

> A. Lipsky and R. Berendt

> Diabetes Care April 28, 2010 vol. 33 no. 5 1143-1145

>

> If this had been published in 1990, I might have accepted 50-200,000.

But a 60-session course, I'm assuming at essentially a 1.5 ATA

protocol, at prices that tte quoted to me in late 2009 is under

$20,000. How the hell do they get even $50,000? Are are Lipsky and

Berendt people who have a bias like appears to regarding brain

injury? Or are they just woefully ignorant about current costs? Anyway,

didn't the " Hyperbaric Medicine Prohibition " article say

that CMS just reduced reimbursement to around $200 per session? That

works out to " only " $12,000 for a 60-session course.

>

> Jim

>

February 17, 2011

Hi ,

Well, it's like this. The federal government, in its wisdom, has decided that

the best way to reduce the cost of medical care for those on Medicare and

Medicaid is to continually reimburse at a lower and lower rate. In some clinics,

it costs more to see a patient than the Medicare reimbursement. I know this

because I'm a physician, retired because of disability. The hospitals and

clinics respond quite reasonably by increasing the amount charged for each visit

and each procedure, in the dismal hope of at least breaking even.

I too was treated at the " Place of Grace " in Fitchburg, WI, for $100 per

treatment. But I paid out of pocket. If the $4,000 charge were submitted to

Medicare, they would probably reimburse about $1,000, which would not go very

far toward keeping the clinic solvent. It is a shell game, and the patients are

the losers.

Best regards,

, MD

Duluth, MN

________________________________

From: Klosky <erinklosky@...>

medicaid

Sent: Thu, February 17, 2011 10:24:47 AM

Subject: Re: [ ] Re: Where the HELL do they (Lipsky and Berendt)

get $50,000 for a " full course " of HBOT for wound healing?

I took my son to a clinic in Madison, WI and they have grants that helped with

the cost. It was only $2000-$3000 for 40 sessions. Just an FYI:)

________________________________

From: hbotforhealth <dpechenick@...>

medicaid

Sent: Thu, February 17, 2011 7:33:28 AM

Subject: [ ] Re: Where the HELL do they (Lipsky and Berendt) get

$50,000 for a " full course " of HBOT for wound healing?

Please post the full text of the article.

Diane

>

> I just ran across this:

>

> " But there are concerns. HBOT is available in only a minority of

communities, is very expensive (a full course of treatment in the U.S.

typically costs $50,000 [Medicare] to $200,000 [private pay]), and is

time-consuming (an average of 60 total hours in the chamber "

>

> " Hyperbaric Oxygen Therapy for Diabetic Foot Wounds: Has hope hurdled

hype? "

> A. Lipsky and R. Berendt

> Diabetes Care April 28, 2010 vol. 33 no. 5 1143-1145

>

> If this had been published in 1990, I might have accepted 50-200,000.

But a 60-session course, I'm assuming at essentially a 1.5 ATA

protocol, at prices that tte quoted to me in late 2009 is under

$20,000. How the hell do they get even $50,000? Are are Lipsky and

Berendt people who have a bias like appears to regarding brain

injury? Or are they just woefully ignorant about current costs? Anyway,

didn't the " Hyperbaric Medicine Prohibition " article say

that CMS just reduced reimbursement to around $200 per session? That

works out to " only " $12,000 for a 60-session course.

>

> Jim

>

February 17, 2011

It is $6000 to do 40 sessions in TX---just outside of Dallas.

Sure wish we could get some of the better prices around here, but it still

beats the heck out of $50,000.

On Thu, Feb 17, 2011 at 10:24 AM, Klosky <erinklosky@...> wrote:

>

> I took my son to a clinic in Madison, WI and they have grants that helped

> with

> the cost. It was only $2000-$3000 for 40 sessions. Just an FYI:)

>

> ________________________________

> From: hbotforhealth <dpechenick@...>

> medicaid

> Sent: Thu, February 17, 2011 7:33:28 AM

> Subject: [ ] Re: Where the HELL do they (Lipsky and Berendt)

> get

> $50,000 for a " full course " of HBOT for wound healing?

>

> Please post the full text of the article.

>

> Diane

>

> >

> > I just ran across this:

> >

> > " But there are concerns. HBOT is available in only a minority of

> communities, is very expensive (a full course of treatment in the U.S.

> typically costs $50,000 [Medicare] to $200,000 [private pay]), and is

> time-consuming (an average of 60 total hours in the chamber "

> >

> > " Hyperbaric Oxygen Therapy for Diabetic Foot Wounds: Has hope hurdled

> hype? "

> > A. Lipsky and R. Berendt

> > Diabetes Care April 28, 2010 vol. 33 no. 5 1143-1145

> >

> > If this had been published in 1990, I might have accepted 50-200,000.

> But a 60-session course, I'm assuming at essentially a 1.5 ATA

> protocol, at prices that tte quoted to me in late 2009 is under

> $20,000. How the hell do they get even $50,000? Are are Lipsky and

> Berendt people who have a bias like appears to regarding brain

> injury? Or are they just woefully ignorant about current costs? Anyway,

> didn't the " Hyperbaric Medicine Prohibition " article say

> that CMS just reduced reimbursement to around $200 per session? That

> works out to " only " $12,000 for a 60-session course.

> >

> > Jim

> >

>

February 17, 2011

San , Texas- we paid $5,000- $125 per treatment/40 total sessions- hard

chamber pure oxygen

steph

________________________________

From: Donna Bateman <donna.bateman@...>

medicaid

Sent: Thu, February 17, 2011 3:55:57 PM