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Nutritional Concepts Mid-Week Brief
October 9, 2013
Dear Valued Subscriber,

 

NCI Well Rewards Loyalty Program will be back for 2014! Make sure you stock up before the end of 2013 so you can maximize your rewards. Details below. 

 

Have a happy, healthy day. Bonnie and Steve Minsky

New Study Using Pure Encaps Vitamin D.

vitaminddeficiency

In a clinical study published in the October issue ofThe Journal of Bone Mineral Research, a group of researchers evaluated Pure Encapsulations Vitamin D3 in post-menopausal women.
 
The double-blind, placebo-controlled trial recruited women between 60 and 70 years of age residing in Northeast Scotland, a region where low serum vitamin D levels are highly prevalent. The women were randomized to receive placebo, 400 IU, or 1000 IU of vitamin D3 daily for 1 year. The serum form of vitamin D3, (25(OH)D), was assessed every 2 months. At the end of the study, bone mineral density (BMD) was measured. By assigning Ultra Violet sensing badges to the participants, the researchers excluded sunlight as a confounding source of vitamin D.
 
Serum 25(OH)D levels, which were low in all groups when the study began, increased by nearly 2-fold within two months of supplementation. Consistent with normal changes in bone after menopause, a significant decline in BMD at the hip was evident over the 1-year period in the placebo group. The 1000 IU group maintained bone integrity over the course of the entire study.
 
Pure Encaps did not fund the study, thus removing conflict of interest. The study was funded by the UK Food Standards Agency, the Department of Health, and the National Osteoporosis Society.
 
Well Rewards Loyalty Program Is Renewed.

nciwellrewards

For the fourth year in a row, our NCI Well Rewards Loyalty Program was a success. It will be back for 2014. Before the year ends, make sure you stock up on your supplements because:
  1. Your 2013 reward points reset to zero at 5PM on 12/31/2013.
  2. The more reward points you have accrued throughout the year, the larger the discounts become.   
  3. For details about NCI Well Rewards Loyalty Program, click here.
Medical Nutrition Therapy's Vital Role As Part of the Affordable Care Act.

AffordableCareAct

Rather than treat conditions as they occur, part of the Affordable Care Act's purpose is to encourage preventive care to keep those conditions from ever becoming issues that need treatment. One such preventive service is nutritional counseling. Your physician will need to screen you for risks of specific conditions in order to receive nutrition counseling at no additional charge, but there are several conditions that qualify.


The U.S. Preventive Services Task Force (USPSTF) has identified specific services that are covered under the essential health benefits provision under the law. The services related to nutrition counseling that are covered 100 percent under the ACA are:

 

Diet counseling for adults at risk for cardiovascular disease. The USPSTF recommends dietary counseling for adults who have been diagnosed with hyperlipidemia, a precursor to cardiovascular disease. The counseling services should be designed to teach patients how to change their diet to lower their risk of cardiovascular disease.

 

Obesity counseling for adults. Adults who have a body mass index (BMI) of 30 or higher should receive behavioral interventions, including exercise and nutrition counseling. The USPSTF recommends between 12 and 26 counseling sessions over the course of a year.

 

Obesity counseling for children. Children six years and older who have BMIs in that fall between the 85th and 95th percentiles for their peers should receive moderate- to high-intensity behavioral interventions. The USPSTF recommends more than 25 hours of counseling with the child and his or her family over a six-month time frame.

 

Diet counseling for diabetics. The USPSTF recommends dietary counseling for people who have been diagnosed with Type I or Type II diabetes.


You can access any of these services as long as you have a prescription for "medical nutrition therapy" from your primary care physician. You should not pay any copays or deductibles for these services. In addition, the screenings your primary care physician will complete to determine whether or not you need nutrition counseling will be covered at 100 percent.  

 

Non-USPSTF Recommended Health Conditions  

For health issues other than the aforementioned, not all is lost. While it is up to your insurance provider to cover our services, if you have a prescription with diagnosis code and "medical nutrition therapy" written on it by your physician, chances are very good you will be reimbursed fully or at worst, partially. Most of our clients have great success submitting their claims this way.

  

Medicare
For our services, you would go through the same process as above. Then, you would submit the claim yourself to Medicare for reimbursement. In summary, Medicare is now covering counseling services for diabetes, preventive care or "wellness visit", and obesity only.

When first signing up for Medicare, patients are allowed a free wellness visit up to $250. Part, or all of the visit, can be allocated for nutritional services if accompanied with a doctor's prescription with the words "wellness visit."