Decision Maker

Blue Cross Blue Shield

The Blue Cross and Blue Shield Association is a national federation of 37 independent, community-based and locally operated Blue Cross® and Blue Shield® companies.

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Petitioning Blue Cross Blue Shield

Blue Cross Blue Shield: Cover therapy treatments for Reed

Our 4 year old, Reed, has experienced developmental delays in all areas since he was an infant. A recent brain MRI has shown some neurological abnormalities. He has received speech, physical, and occupational therapies since he was a year old. He initially received therapy services from our local Early Childhood Intervention program, but began receiving private therapy services at the age of 3. He has made steady progress with consistent therapy, but it is anticipated that Reed will continue to need therapy over the years to reach his full potential. Last year, Reed was on a BCBS PPO insurance plan through my employer that covered all of his therapies through home health. He is now on a different BCBS PPO through my husband's employer as of August 2018. From August to October of 2018, this insurance plan covered a home health agency coming to Reed's daycare for his therapy. This allowed him to receive therapy while my husband and I both worked full time in order to make enough to cover the cost. Although the therapy was "covered," we are required to pay the full cost until we meet a high deductible. BCBS has recently denied more therapy visits for Reed stating that they have a policy of only covering home health visits for children who are unable to leave their house. When the therapy company asked to see this policy in writing, BCBS has been unable to produce it. During a peer to peer review with Reed's doctor, the insurance company said they would cover the visits if the home health agency billed them as "not in the home." However, BCBS has a contract with the home health agency stating they must bill the therapy as being in the home. So BCBS asked me to tell the therapy company to do something that they have a contract with the therapy company stating that they cannot do. Just 3 months ago, they covered his visits through home health. They are now trying to force us to take Reed to an outpatient facility if we want his therapy visits to count towards our deductible. We are unable to do that without one of us significantly reducing the amount we work, and therefore, our income to be able to pay for these therapies until we meet the high deductible. I believe this is a move by BCBS to keep us from meeting our deductible so that they will not have to do their part and begin paying for services once the deducible is met. They are enacting "policies" at random and suggesting billing changes that they know the therapy company cannot do as part of a game to avoid providing coverage. Home health is not solely for children who are unable to leave their homes. I am a home health speech therapist myself and none of the 20+ children I have worked with over the past year have been confined to their homes. Various insurance companies, BCBS included, have covered services for these children so that they could receive therapy and their parents could continue to work or be available to care for other children in the home while therapy was done. Additionally, BCBS has imposed a 60 visit limit for all therapies. This means that they will only allow a few months worth of therapy to count towards our deductible. It will take 47 visits for us to meet our deductible. Then BCBS will cover 13 before we will again be responsible for the full cost. Reed needs consistent, year-round therapy for years to come. Visit limits are based on the therapy model for adults recovering from strokes and brain injuries where they receive intensive therapy over a short period of time. It is RE-habilitative. Therapy for children is habilitative. They are not recovering lost skills, but gaining them for the first time. That requires more than just a few months of therapy. The combination of denying home health and an unreasonable visit limit will bankrupt our family or force us to not be able to get him the help he needs. We are not looking for a handout but just asking BCBS to provide the health coverage we are working hard to earn and pay for. Reed has been making good progress with therapy and deserves the chance to gain the skills he needs to succeed in life. Please help us appeal to BCBS not only for Reed, but the thousands of other families being put in this position by these "policies" that insurance companies use to avoid meeting their responsibility to cover services.

Kimberly Richards
175,594 supporters
Petitioning Donald J. Trump, Donald J. Trump, United Nations, Council of the European Union, Justin Trudeau, Donald Trump, Human Rights Campaign, United Nations Security Council, UNICEF, Department of Justice,...

China: Release the 1 Million Uyghurs Detained in Nazi-Style Concentration Camps

China: Release The 1 Million Uyghur Detainees Held Illegally In Nazi-Style Concentration Camps   By  Torchlight Uyghur Group  ( This Petition Is Also Available In The Following Languages: Turkish (Turkçe), German (Deutsch), Japanese (日本語),  Chinese (中文), Traditional Chinese (繁体字), French (Français), Arabic (عربى), Uyghur (ئۇيغۇرچە), Slawyan (Kiril), Russian(Pусский) January 20th, 2018        Many media organizations around the world have recently reported that a large portion of the Uyghur population is being detained either in jails or in so-called “re-education camps” ( while their children are being kept in countless orphanages in the East Turkestan.   Recently, we have learned from official sources inside East Turkestan that the number of the Uyghurs currently being held in these Nazi-style political “re-education” concentration camps is more than 800,000.  That is a number known officially inside East Turkestan, but all the unofficial numbers we obtained from various sources exceed one million. According to the 2010 Chinese census, the Uyghur population in East Turkestan was 10,000,370 ( This means that about 10% of the current Uyghur population is locked up.  The conditions of the concentration camps are horrific because of the fact that such a large number of Uyghurs are locked up in relatively small and crowded spaces. We were told by several people who fled China recently that people even cannot lie down during the night with their backs on the floor; instead, they have to sleep sideways with all the adjacent bodies touching one another. We have also learned from some Uyghurs who recently lost their close relatives in the concentration camps that a significant number of Uyghurs are losing their lives in those camps every day. The families of the victims are just receiving their dead bodies from those overcrowded concentration camps. The local authorities are not giving back the bodies of the younger Uyghurs died, instead, just burying them in the nearby empty fields. These are just a few of the many examples of the horrible conditions in these concentration camps.   How did those more than one million people end up in jails, concentration camps and orphanages?  It is extremely difficult to obtain such information in China, but we have managed to get information on some individual cases from the relatives of those victims’ living outside China (The report titled “Political persecution of the Uyghurs – Brief description of some individual cases” at The Uyghurs are one of the ancient peoples living in the heart of Asia. They have a long and proud history, and a rich culture. Throughout the history, the Uyghurs have been a great contributor to the world peace and prosperity.  Due  to their geographical location along the famous Silk Road, they have been a major force in the cultural exchange between the East and the West. We strongly believe that the Uyghurs are an indispensable part of the wider international community and will continue such contribution to the world’s ethnic and cultural diversities in the future. Similarly, the Uyghurs will contribute to the world's peace and prosperity, just as they have done in the past. Therefore, the Uyghurs have every right to live in peace with dignity, and to continuously prosper, as any other nations on the surface of our mother Earth. However, in the recent decades, the Chinese government has banned the Uyghur language from its use at all levels of education in East Turkestan, outlawed Uyghur literature (by banning and burning historical and literature books written in the Uyghur language), restricted, criminalized and attempted to eliminate Uyghurs’ religious belief and practice, and has systematically flooded East Turkestan with Han Chinese migrants in the name of “developing the West”, and thereby marginalized the Uyghurs in their own homeland.  And now the Chinese government is openly killing the Uyghur people, too, in those Nazi-style Chinese concentration camps by implementing a state-sponsored ethnic cleansing policy.  If we don’t get help immediately from the United Nations and from the international community to stop the Chinese government from what they are doing towards the Uyghurs in East Turkestan, the Uyghurs will keep dying and disappearing in large numbers in those Chinese concentration camps ( and will soon face an unprecedented threat to their very existence. Therefore, we appeal to all the international communities and human rights organizations not to ignore the Chinese government’s crimes against humanity – the crimes currently being committed against the innocent Uyghur people.  We appeal to the United Nations and other international human rights organizations to demand the Chinese government to release those  1 million Uyghurs, and send investigation teams to East Turkestan and find out: ●      Where are those jails, concentration camps and orphanages? ●      Why and where those one million Uyghurs are being detained? ●      What are they eating and where and how are they sleeping? ●      What are they doing during the day? ●      What are their current health conditions? ●      What are the current death rates among the detainees? ●      What is happening to the children/siblings/parents of the people held in jails and concentration camps?  We, the Uyghurs, are powerless and helpless at the moment.  As such, we cannot defend ourselves against the Chinese government’s atrocities and cannot fight this battle for our survival alone.  We need the support of the global community.  If tens of thousands of people from around the world sign our petition, it may be possible that the United Nations will make a commitment and will act to stop the tragedy that the Uyghur people are facing today.  Please join us in our fight to end the appalling atrocities happening in East Turkestan. Please sign and share this petition. Thank you!  About the Uyghur People and East Turkestan:  East Turkestan is the homeland of the Uyghur people. It has been under the communist China' s occupation since 1949. East Turkestan is located in the Central Asia, and borders China and Mongolia to the east, Russia to the north, Kazakhstan, Kyrgyzstan, Tajikistan, Afghanistan, Pakistan and India to the west, and Tibet to the south. The landmass of East Turkestan is bigger than whole Western Europe. Its colonial name is “Xinjiang”, which means "the new territory" or "the new frontier" in Chinese. China officially designated the East Turkestan a Uyghur autonomous region in 1955, but in reality it has never become a genuine autonomous region. The Chinese government reported the number of the Uyghur population in East Turkestan as 10,000,370 (refer to the 2010 Chinese census), but some Uyghur sources estimate the real population of Uyghurs to be around 20 million.  

Torchlight Uyghur Group
107,263 supporters
Petitioning Blue Cross Blue Shield

Blue Cross Blue Shield: Stop overcharging for insulin

You’ve probably heard some of their stories. People are dying because they can’t afford insulin. Thousands more are risking serious harm by skipping doses.  Incredibly, many of these people have health insurance.  How can that be? One big reason: Most insurance companies overcharge their members for insulin and other prescription drugs. I used to work for one of those companies—Blue Shield of California. Here’s how the companies overcharge. When insurers agree to cover specific brand name drugs, including insulin, they negotiate rebates to the insurer from the pharmaceutical companies. For insulin, the rebates average 70%. But when insurers calculate your cost-sharing payments, most base it off the full list price, not the after-rebate price they pay. So if the list price for a particular brand of insulin is $400 a month and the after-rebate cost to your insurer is $120, they’ll charge you $400. If you’ve met your deductible and your co-insurance is 20%, they’ll charge you $80 instead of $24. This practice is so clearly immoral that two of the biggest insurance companies, Aetna and UnitedHealthcare, have voluntarily stopped doing it. They now base member cost-sharing for insulin and other drugs on the discounted cost to the insurer, not the list price. But Blue Cross Blue Shield insurers (except for BCBS of North Carolina) continue to overcharge. The only reason they get away with it is that so few people know about it. With some public exposure and pressure, we can get them to do the right thing too. To end the insulin affordability crisis, we have to change how pharmaceutical companies and insurers behave.  Blue Cross Blue Shield: Stop overcharging for insulin and other drugs, and instead base member cost-sharing on the actual costs of drugs.

Michael Johnson
104,713 supporters
Petitioning Blue Cross Blue Shield

Independence Blue Cross: Approve the drug Avastin for my Mom

My mom has been battling Non-Small Cell Lung Cancer (NSCLC) for over three years. She has gone through countless chemotherapy cycles with various drugs and months of radiation. Throughout it all, she has had terrible side effects like severe nausea, vomiting, loss of balance, and numbness in her legs and feet. However, she is a strong, stubborn person and refuses to give up. Unfortunately, Independence Blue Cross has given up on her. They have denied my mom a life saving drug called Avastin (Bevacizumab). Avastin is a tumor-starving drug that blocks blood flow to the tumor thereby causing it to stop growing and shrink. She has been given Avastin in two previous cycles of chemo and had good results with it. It is important to note that Avastin is a mainstay of standard systemic therapy in advanced NSCLC and FDA approved for that purpose. To date, the incorporation of Avastin into her chemotherapy has kept her cancer from metastasizing to new sites in her body. Avastin combined with a chemo drug Taxol (Paclitaxel) has been the secret to disease response and stabilization in my mom's situation. She has tolerated this combination the best of any regimen to date. Avastin alone did not work for my mom and in her situation it has worked only in combination with Taxol. Although she has Stage IV cancer, she has had dramatic improvement while on Avastin and Taxol. Independence Blue Cross, please approve Avastin for my mom.

Natalie N.
61,772 supporters
Petitioning Blue Cross Blue Shield

Provide coverage for a comprehensive and intensive feeding program for my son and children like my son.

Eating for many people is similar to breathing; it’s natural and doesn’t require much effort. However, for my son, Nolan and for many other children eating is not enjoyable due to medical problems. Eating is skill that needs to be learned and desired. Nolan from the moment he started eating he had difficulty. A comprehensive and intensive feeding program is recommended at this time, give the longstanding nature and severity of his food refusal. One doctor described his reflux out his nose as one of the worse cases he had ever seen. In addition, to reflux, Nolan was also diagnosed with low muscle tone and aspiration of thin liquids.  The combination of those three disorders has prevented eating and drinking, as one feeding therapist described to me, from being a "pleasurable experience." Currently Nolan’s main source of nutrition is from nasogastric tube.  In his short three years of life this is the third time and longest he required a feeding tube. In a few weeks Nolan will be having surgery to place a gastrostomy tube (also called a G-tube) is a tube inserted through the abdomen that delivers nutrition directly to the stomach. This tube will help Nolan maintain hydration and calories in order to help him grow and stay healthy. The need for a nasogastric tube was after a very painful and traumatic experience Nolan had this past October when his spleen for unknown reasons clotted and stopped working.  The NG tube was and still is simply a quick and fast fix to provide nutrition to Nolan. As his pediatrician has pointed out to me, "being dependent on NG tube feeds indefinitely is not optimal due to poor nutritional variety, the expense and side of effects of daily tube feeds." Providing Nolan with an opportunity to learn to maintain his own nutrition is skill that will last him a life time, which is why I am pleading with Horizon to stop denying him coverage for the Children’s Hospital of Philadelphia Day Hospital Program. I was first denied because medical necessity hadn’t been established, according to the Horizon. A doctor from Chop had 1:1 review of the appeal which resulted in Nolan’s being denied because other means of therapy hadn’t been attempted first. They stated if I can’t prove that he had feeding therapy with a speech therapist and/or an occupational therapist and failure of these methods could result in overturning the denial.  I documented to them proof he attending feeding therapist since he was discharge from NICU and only stopped when he could see a therapist more often at school. Nolan currently sees a speech therapist 5 days a week at school and his school’s Eat n Drinking System Team felt that too many therapists working with him would be counterproductive. Every feeding approach has been attempted and nothing has been able to provide Nolan with successful eating skills. Children Hospital of Philadelphia’s feeding clinic is an extreme road but necessary one at this point in Nolan’s life.

Debbie Moran Ehrenbeck
46,543 supporters
Petitioning Blue Cross Blue Shield, United Healthcare, Cigna, Humana, Anthem, Kaiser Permanente, medi-cal, Medicaid, U​.​S. Governors, Aetna

Homebirths need to be fully covered by insurance companies during COVID-19 and always!

Dear Insurance companies,   I am a birth rights advocate writing you on behalf of every pregnant and birthing person amongst this COVID-19 pandemic and always! Birthing at home with a midwife is NOT a luxury, it never has been, and it most certainly is not during this pandemic. With “stay at home” orders in place, and pregnant people being described as some of the most vulnerable, it is a necessity for healthy pregnant people to have medical insurance coverage to birth at home with midwives to reduce their exposure to COVID-19, which will soon be taking over hospitals. Hospitals will be running out of space, personnel will be limited and pregnant people will be forced to birth under less than healthy environments.  Hospitals are already limiting support people and also advising pregnant people to undergo unnecessary cesareans due to COVID-19. Not only is this completely unnecessary, it is unhealthy for the birther and baby. Many birthers during this pandemic want to switch from hospital birth to homebirth, as to minimize their exposure and maximize their health. But health insurance companies are not fully covering homebirths with midwives and it’s leaving parents and babies in predicaments they do not need to be in. Parents should not be forced to birth in a hospital where sick people congregate. Pregnancy is not an illness. It’s a normal function. You have the capability to cover homebirth midwives during this pandemic which means healthier parents, healthier babies, YOU save money, you keep hospitals helping people who really need the help, and you lessen the exposure of COVID-19 to parents and babies. Homebirths with a low-risk parent and baby are SAFE and reasonable, especially considering our circumstances. I have had a homebirth myself and can say that the care I received was impeccable and far cheaper than a hospital birth. I run a very large social media outlet with over 1 million people who are either pregnant, nursing, birth workers, parents, or learning about birth and options. PEOPLE WANT THE OPTION TO BIRTH AT HOME WITH INSURANCE COVERING THEIR MIDWIVES. Hospitals are now removing all support people from labor and delivery, forcing people to birth alone in hospitals, even without their partners.  If prisons are letting out non-violent offenders to minimize the spread of this virus, why are you not doing your part as well? If there was ever a time to insure homebirths, IT IS NOW!  

Flor Cruz
35,736 supporters
Petitioning World horse welfare, RSPCA, Animal health and welfare board for England, Department for Environment Food and Rural affairs, Animal and Plant health agency, Dyfed-Powys police, Crown prosecution ser...

Prosecute the Pony abusers!

Recently a video surfaced on facebook of a young defenceless pony being viciously attacked. The attacker was Chloe Morgan of Llanelli she viciously abused an innocent pony tied to a wall. She was filmed striking the pony more then ten times with a whip because she was angry that the pony had bucked whilst she attempted to mount with no saddle. The pony bucking was due to her own lack of skills and the fact she is far to large for the small pony. The pony looked distressed and distraught. Repeatedly attempting to back away from the angry Chloe Morgan only to be relentlessly whipped and shouted out then further assaulted by the stable hand! This disgusting abuse was filmed by Chloe Williams daughter of the owners of the pony and the centre, Chloe Williams filmed this evil act and posted it on social media she thought it was funny. She also displays no remorse. Her father Paul Williams also abused the poor animal kicking the pony twice also witnessed at the end of the video . He should never be allowed to own or train people with animals again neither should Chloe Williams and especially not Chloe Morgan. Please sign this petition to make sure a prosecution is made! The RSPCA have visited the property and state there is an ongoing investigation. But according to the South Wales evening post when both the police and RSPCA visited they found no evidence of abuse. Yet we have all witnessed the evidence of abuse that the defenceless pony was subjected to and we want a prosecution! We pay/fund/support the RSPCA via donations to protect animals! We are aware they are a charity. We are aware of how many calls they receive. But we the people need to ensure that the RSPCA Protect innocent animals from the likes of Chloe Morgan, Chloe Williams and Paul Williams! Should this decision be out of their power then the government needs to make this happen! The police need to investigate! The CPS need to prosecute! These people need to be brought to justice! 

Lauren Price
26,043 supporters
Petitioning United States Department of Health and Human Services, United Healthcare, Aetna, President of the United States, Blue Cross Blue Shield, Michelle Obama

Wheelchair repair reform: Mobility is a human right

Healthcare in America leaves disabled people stranded for months, even years because of barriers to healthcare services that dictate wheelchair & mobility device repairs. A mobility device is not a luxury item, it is a medical necessity needed for disabled people to live independent lives. The average wait time on a mobility device repair can range anywhere from one month to a year. There are a few problems that need to be fixed within the framework of healthcare and disability rights in regards to mobility device repairs. 1. A reasonable wait timeIt is absurd that someone can potentially be bed-ridden for months because the wheelchair vendor is taking their time submitting a claim while going through all the steps the insurance company requires. This puts disabled lives in danger every single day. After submitting a mobility device repair claim to the insurance company, it can take months for an answer. We must put restrictions in place on how long an insurance company has to respond to a mobility device claim. 2. End the mobility device repair monopoly Many disabled people have Medicaid as their insurance. Even if somebody has private insurance, the insurance companies only have contracts with two large mobility device companies. The in-network wheelchair  vendors are very limited & give disabled people hardly any options on who services their mobility device. In other words, these large companies have a monopoly with insurance companies on mobility device profits. The companies know this, and they take advantage of their customers. In the more simple terms, it’s basically like being able to only see one doctor. The insurance company you have will not give you any other options, so if you do not like the doctor, oh well. Insurance companies must start contracting with smaller vendors (like Ocean Conversion in south FL). There must be change. The disability community is at the mercy of the services we rely on to live. Having only vendor option and waiting months on end to get a mobility device that repair is not acceptable by any human rights standard. Accessibility is a human right, not a privilege.

Alex Dacy
24,618 supporters
Petitioning Blue Cross Blue Shield, Aetna, United Healthcare, Cigna, Your Department of Insurance, CMS Medicare

Insurance Companies deny therapy to children for PT/OT/ST during global COVID-19 pandemic.

BCBS / UHC / Cigna / and Aetna are denying coverage for their beneficiaries to participate in telehealth in the therapy sector for occupational therapy, physical therapy, and speech therapy. We need your help to start the change needed so children can continue with their treatment plans while quarantined and social distancing.  Please consider signing our petition.  In several counties we have been told to shut down businesses due to widespread cases of COVID-19 being reported. According to the newly released CDC guidelines, the President of the United States, as well as state and local officials have stated that we are to immediately implement social distancing and to avoid any gatherings of 10 people or more. Many clinics have more than 10 employees. This alone exceeds the CDC recommendations. We are completely unable to provide traditional in person therapy and are being advised by our therapy governing bodies and officials to move all therapy services to telehealth. There are a number of reasons why we believe that Insurance companies should be pro-actively working to help small businesses and other businesses overcome the hurdle of being reimbursed by insurance providers for all telehealth services. We are being told by BCBS / UHC / Cigna / Aetna that they will not allow all plans to accept and reimburse for Occupational Therapy, Speech Therapy, and Physical Therapy services due to CMS Guidelines. However as of 12:12 pm on 3/17/20 the following presser was released: "The Trump Administration today announced expanded Medicare telehealth coverage that will enable beneficiaries to receive a wider range of healthcare services from their doctors without having to travel to a healthcare facility. Beginning on March 6, 2020, Medicare—administered by the Centers for Medicare & Medicaid Services (CMS)—will temporarily pay clinicians to provide telehealth services for beneficiaries residing across the entire country." “The Trump Administration is taking swift and bold action to give patients greater access to care through telehealth during the COVID-19 outbreak,” said Administrator Seema Verma. “These changes allow seniors to communicate with their doctors without having to travel to a healthcare facility so that they can limit the risk of exposure and spread of this virus. Clinicians on the frontlines will now have greater flexibility to safely treat our beneficiaries.” On March 13, 2020, President Trump announced an emergency declaration under the Stafford Act and the National Emergencies Act. Consistent with President Trump’s emergency declaration, CMS is expanding Medicare’s telehealth benefits under the 1135 waiver authority and the Coronavirus Preparedness and Response Supplemental Appropriations Act. This guidance and other recent actions by CMS provide regulatory flexibility to ensure that all Americans—particularly high-risk individuals—are aware of easy-to-use, accessible benefits that can help keep them healthy while helping to contain the spread of coronavirus disease 2019 (COVID-19)." This expansion of these CMS rules (which all private insurance carriers follow) should immediately, and retroactively, be applied to the therapy sector during the time the government recommends as many as possible work from home and for which telehealth has been applied as a therapy modality. This should absolutely include therapists across the country to provide continued therapy services for our most vulnerable populations that cannot risk receiving therapy in person. Additionally, employers cannot risk the safety and well-being of their staff during this serious COVID-19 outbreak. Please see the following reasons for why we believe we should be reimbursed for services rendered via telehealth and that all insurance carriers should allow their beneficiaries therapy benefits to apply to telehealth during this global pandemic: #1 As therapists we are required by our state licensing by-laws to never under any circumstances perform patient abandonment. Yet the government and insurance companies are implementing and enforcing strict rules and guidelines so that we are unable to provide much needed healthcare to our patients. Therapy is an essential and medically necessary need for many patients. #2 Abandoning children and other patients without the ability to continue our plan of care will cause potential harm, a regression of skills required for activities of daily living and basic skills such as speaking, safely eating/drinking, walking, and being independent in self-help skills. This would directly impact the significant progress that they have worked so hard to achieve with direct guidance and support from their therapist. These patients would require additional care and will have to start their therapy plans completely over when this pandemic ends so that they can regain skills within functional limits for activities of daily living. #3 Telehealth and telerehab are proven and accepted therapy modalities that are occuring in real time through various platforms. Telehealth is provided via one on one therapy with our patients. This is within our scope of practice and ability of care. Our governing bodies for therapy, ASHA, AOTA, APTA, TOTA, TPTA, and TSHA have all encouraged therapy providers to utilize teletherapy during this difficult time for our country, where social distancing is our only option to stay safe. #4 We see children with diagnoses whose health will be severely and directly impacted by this limitation as many of them are immunocompromised. These patients are more susceptible to COVID-19 at a greater risk than the general population. ** Feeding therapy patients suffer from silent aspiration on foods and liquids which can lead to pneumonia. Without regular parent training and therapy regarding proper positioning and techniques, these children are at an immediate greater risk of infection, which then increases the risk of complications from COVID-19. ** Patients with speech and/or language deficits will no longer have a trained therapist on their side assisting them in improving their overall communication skills and quality of life. Their families may have difficulty understanding their basic wants and needs due to the lack of continued therapy. ** Children with muscular spasticity due to cerebral palsy and/or other genetic anomalies need to participate in individualized therapeutic stretching/exercise protocols that are monitored and updated by skilled licensed therapists on a regular basis. Through telehealth, therapists are able to teach parents how to perform these specialized stretches in the home environment while interacting with a skilled licensed therapist to guide them through proper techniques to avoid any harm to the patients. ** Patients that struggle with emotional dysregulation who have made great progress with therapy at our clinic. If we can’t continue our plan of care with their families via telehealth, our patients would experience a regression of coping skills and would revert to negative behaviors impacting their daily lives and mental health. ** Many patients suffer from muscle weakness and poor coordination. With the help of continued guidance and support from skilled licensed therapists through the telehealth option, we can provide continuous activities that will improve their skills on a weekly basis rather than allowing for regression of skills to occur. ** Babies with torticollis (or a head tilt often accompanied by flattening of the head and facial asymmetry) would experience significant deficits in every area of life. Their vision, facial, head, and neck symmetry, gross and fine motor skills would all be negatively impacted by lack of therapy and parent education. These deficits which are easily treated with physical and occupational therapy, would linger later into their lives which is medically negligent. We have the ability to use telehealth to guide and treat these patients in a timely manner to avoid any long term damage. #5 As therapy practitioners we agree to do no harm. The limitation in various insurance plans/carriers to not allow telehealth, even during this global crisis, is directly causing immediate harm to our patients and should be considered medically negligent. Not allowing therapy via telehealth during this global crisis would negatively impact thousands of patients, hundreds of small businesses, our communities, and the nation as a whole as this virus continues to spread. Our only safe option for service delivery is via telehealth for one of our most vulnerable populations. This is an urgent need for all insurers to include the therapy sector in the newly released CMS guideline expansion/waiver and allow telehealth as a therapeutic modality regardless of the insurance plan. Thank you

Open Door Pediatric Therapy & Preferred Recovery Billing
20,808 supporters