RAO Davao City

United States Military Retiree Activities Office Davao City, Philippines

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Decertified Tricare providers Philippines

Posted by Service Officer on 4th November 2011

All Hands [11/3/11]

A Watchdog group of retirees residing in the Philippines has provided the below list of Tricare providers which appeared on the 1 OCT TAO-P certified provider list as decertified. No notice has been published by ISOS, WPS nor TMA regarding the decertification or the date that claims submitted would no longer be honored. However, some claims are reportedly being denied to beneficiaries who filed for reimbursement for services obtained prior to the appearance of these providers on the list. The Watchdog group has brought this matter to the attention of TRICARE Area Office – Pacific and is awaiting their response on how to proceed for past, present and future claims. Recertification is contingent on the willingness of a former provider who remains open for business to cooperate with the certification process. Philippine beneficiaries are cautioned to always check the TAO-P certified provider list at http://www.tricare.mil/tma/pacific/pacificcertifiedproviders.aspx prior to seeking health care or medications in order to avoid potential denial of their claims for reimbursement.

Lt. James ”EMO” Tichacek USN (Ret)
Editor/Publisher RAO Baguio Bulletin

Provider Name City Address Specialties Notes

• Professional Andres Dental Clinic Ilocos Norte Room 205 Isabel Building I (5 Sisters Superstore), J P Rizal Street, Laoag City

• Professional Centralle Medical Diagnostics & Polyclinic Inc. Bulacan No. 361 Mcarthur Highway, Wawa, Balagtas

• Professional De Villa Manlapaz,Luisa,Md Quezon City Rm 519 E Rodriguez Sr Ave “Pediatrics Neonatology”

• Professional Gnc Live Well Muntinlupa City Alabang Town Center Expansion 2, Alabang-Zapote Road

• Professional Luis Skin Clinic Ilocos Norte Room 207 Isabel Building I (5 Sisters Superstore), J. P. Rizal Street, Laoag City

• Professional Medical Center Trading Corporation Pasig City Pioneer Street Corner Shaw Boulevard

• Professional Mercury Drug Corporation All Cities All Locations Pharmacy Removed But Replaced With Provider CityAnd Provider Address

• Professional Piores-Roderos, Olivia Md Cavite Room 2115 De La Salle University Medical Center, Congressional Avenue, Bagong Bayan, Dasmarinas

• Professional South Star Drug Angeles City Teresa Ave St Joseph S Sto Ros Robinsons Nepo Mall Dona Pharmacy

• Professional South Star Drug Cavite Tirona Highway, Binayan, Kawit

• Professional South Star Drug Iriga City Alfelor St Cor Rotary Rd

• Professional South Star Drug Pasay City Km 12 Access Rd Balagbag

• Professional South Star Drug, Inc. Batangas Balintawak Highway, Lipa City

• Professional Unicare Pharmacy Angeles City 1520 Jesus St Lourdes Sur Pharmacy

• Professional Unicare Pharmacy Pampanga 1520 Jesus Street, Angeles City

• Professional Zarate General Hospital Las Pinas City Atlas Compound, Naga Road, Pulang-Lupa

 

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TRRx UPDATE September 14, 2006

Posted by Service Officer on 14th September 2008

The government’s cost of providing brand-name drugs to military beneficiaries through Tricare’s vast retail pharmacy network (TRRx) is falling by 25% as new law forces drug manufacturers to expand price discounts. The change won’t affect co-payments charged military family members and retirees who have 60 million prescriptions a year filled in retail drug outlets. But Department of Defense pharmacy costs will be cut by more than $700 million next year and by higher amounts in following years. The cost savings flow from a provision in the fiscal 2008 defense authorization act that requires drug makers to extend federal pricing discounts to brand-name medicines dispensed to military beneficiaries through drug stores, supermarkets and other commercial outlets.

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MEDICAL PRICING September 14, 2008

Posted by Service Officer on 14th September 2008

Healthcare providers and insurers put a dollar value on medical services using policies so inscrutable that they leave patients unable to determine a fair price for any treatment. This is most evident in trying to evaluate the differences between what medical providers bill and what insurers’ pay. “It’s a Byzantine system,” said Jim Lott, executive vice president of the Hospital Assn. of Southern California. “There’s no question about that.” Peggy Hinz, a spokeswoman for Anthem Blue Cross, said the insurer “relies on the latest medical pricing data and experts in the field” to determine how much it will pay for specific services. “We always strive to reimburse a fair amount based on a provider’s cost and based on what is reimbursed to other providers for like services,” she said. Most physicians will not discuss how they arrive at their billing amounts and often claim they have nothing to do with setting prices for their practice or negotiating contract terms with insurers.

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VA SUICIDE PREVENTION UPDATE September 14, 2008

Posted by Service Officer on 14th September 2008

A blue-ribbon panel has praised the Department of Veterans Affairs (VA) for its “comprehensive strategy” in suicide prevention that includes a “number of initiatives and innovations that hold great promise for preventing suicide attempts and completions.” Among the initiatives and innovations the group studied were VA’s Suicide Prevention Lifeline 1-800-273-TALK. The lifeline is staffed by trained professionals 24 hours a day to deal with any immediate crisis that may be taking place. Nearly 33,000 veterans, family members or friends of veterans have called the lifeline in the year that it has been operating. Of those, there have been more than 1,600 rescues to prevent possible tragedy. Other initiatives noted included the hiring of suicide prevention coordinators at each of VA’s 153 medical facilities, the establishment of a Mental Health Center of Excellence in Canandaigua, N.Y., focusing on developing and testing clinical and public health intervention standards for suicide prevention, the creation of an additional research center on suicide prevention in Denver, which focuses on research in the clinical and neurobiological conditions that can lead to increased suicide risk and a plus-up in staff making more than 400 mental health professionals entirely dedicated to suicide prevention.

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HOSPITAL DEATH RATES August 29, 2008

Posted by Service Officer on 29th August 2008

Until recently, hospital death rates were closely guarded secrets, discussed in board rooms but beyond the reach of patients whose lives are on the line. Now anyone with access to a computer can directly compare a local hospital with the one across town to see how it stacks up against the biggest medical institutions nationwide.

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AFB CLINIC MALPRACTICE LAWSUIT August 29, 2008

Posted by Service Officer on 29th August 2008

On 21 AUG a U.S. District Court Judge awarded an Air Force couple $7.5 million for a malpractice case against the Andersen Air Force Base family clinic. An Air Force wife visited the Andersen Air Force Base family clinic several years ago, complaining of numbness in her groin. The numbness was an early sign of a serious neurological disorder that base medical personnel failed to properly diagnose and treat, according to Chief Judge Frances Tydingco-Gatewood. The judge awarded $7.5 million to Deborah Rutledge and her husband, Air Force Master Sgt. Thomas Rutledge, after agreeing that government employees at the clinic “were repeatedly negligent” in providing medical treatment to Deborah Rutledge, who suffers from Cauda Aquina Syndrome. She suffers from permanent neurological injuries, including numbness, dysfunction and paralyzing pain, according to the court. She can’t sit normally or walk for an extended period of time without pain. According to the judge’s ruling, clinic personnel failed to properly treat Deborah Rutledge during several visits to the clinic, in JUL and AUG 04. She wasn’t properly diagnosed until she visited Naval Hospital and was medically evacuated to Hawaii for treatment. Deborah Rutledge never was asked to remove her clothing for some of the examinations at the Andersen clinic, documents state, and one examination was performed by an improperly supervised physician’s assistant, who Rutledge mistakenly believed to be a doctor. Tydingco-Gatewood awarded Deborah Rutledge $6.9 million, including compensation for pain and suffering, and her husband $592,000 for “loss of consortium. [Source: Pacific Daily News Steve Limtiaco article 22mAug 08 ++]

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INFECTIONS IN SENIORS August 29, 2008

Posted by Service Officer on 29th August 2008

The next time your parent complains of feeling “out of sorts” or gives you a vague list of minor problems, don’t dismiss it as normal grumpiness. There’s a good chance your parent could have an infection. When the human body is under stress or exposed to bacteria and viruses, it triggers a healing chain of events that, in most cases, results in the prevention of infection or illness. However, when the amount of bacteria is too great an infection occurs. At that point, the immune system kicks in doubly hard, releasing a flood of chemicals to attack the infection and promote recovery. Diagnosing the elderly with an infection can be difficult. Seniors are less likely to have classic symptoms such as fever, chills, and vomiting. Instead they might have atypical symptoms such as subnormal temperature, confusion, fatigue, and decreased appetite. In many cases, these subtle signs can be attributed to the normal aging process — or ignored until the late stages of the infection. Seniors are more susceptible to infection because multiple chronic illnesses that occur with age put extra stress on the body, and the medications for these conditions can block the immune system. In addition, the immune system naturally weakens as we grow older.

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MACULAR DEGENERATION UPDATE August 29, 2008

Posted by Service Officer on 29th August 2008

A recent study conducted across seven European countries and published in the American Journal of Clinical Nutrition, found that eating fish rich in Omega-3 fatty acids once a week can help prevent age-related macular degeneration (AMD) and help keep your vision sharp. AMD is an eye disease that destroys central vision by damaging the macula, a thin layer of nerve cells that lines most of the inside of your eyeball and is part of the retina. Nerve cells in the retina detect light and send signals to the brain of what your eye sees. The macula is near the center of the retina at the back of the eyeball and provides the clear, sharp, central vision that you use for focusing on what is in front of you. Because AMD does not affect side vision, it does not lead to total blindness. However it will cause central vision loss, the most important part of your vision. Here is a useful shopping list to help you stock up on Omega-3 acids at the grocery store.

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AO & PROSTRATE CANCER UPDATE August 15, 2008

Posted by Service Officer on 14th August 2008

Veterans exposed to the herbicide Agent Orange are twice as likely to get prostate cancer as other veterans, UC Davis researchers found in a study published online by the journal Cancer. Prostate cancer in those men also comes on earlier and is more aggressive, said Dr. Karim Chaime, chief resident in urology at UC Davis and the study’s lead author. The findings are a clear signal that men who worked with Agent Orange should be cared for differently, getting earlier biopsies and more aggressive treatment, he said. “This is a high-risk group.” Chaime described the study of more than 13,000 Northern California veterans over eight years as “the biggest study ever done” on Agent Orange effects. It will be published in the 15 SEP print edition of Cancer, after online publication last week, and Chaime hopes it soon could lead to new Department of Veterans’ Affairs treatment standards.

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MOBILIZED RESERVE 13 AUG 08

Posted by Service Officer on 14th August 2008

The Army, Air Force and Marine Corps announced the current number of reservists on active duty as of 13 AUG 08 in support of the partial mobilization. The net collective result is 1,106 fewer reservists mobilized than last reported in the Bulletin for 1 AUG 08. At any given time, services may mobilize some units and individuals while demobilizing others, making it possible for these figures to either increase or decrease. The total number currently on active duty in support of the partial mobilization of the Army National Guard and Army Reserve is 80,778; Navy Reserve, 5,799; Air National Guard and Air Force Reserve, 11,491; Marine Corps Reserve, 8096; and the Coast Guard Reserve, 740. This brings the total National Guard and Reserve personnel who have been mobilized to 106,904 including both units and individual augmentees. A cumulative roster of all National Guard and Reserve personnel, who are currently mobilized, can be found at http://www.defenselink.mil/news/Aug2008//d20080813ngr.pdf . [Source: DoD News Release 691-08 13 Aug 08 ++]

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