Overall view of SLE
Systemic Lupus Erythematosus (SLE) is an autoimmune disease which has very broad range of clinical manifestations and may involve people of various ages. It is indeed important to establish and maintain SLE databases to increase significance, awareness, early diagnosis, and better management of the disease. Because of the complexity of this disease, patients with SLE should have multidisciplinary approach starting from the primary healthcare and further involve other subspecialities like rheumatology and nephrology.
Patients with SLE often require therapies for prolonged periods of time. The outcome of the disease is a lot depends on the early diagnosis and treatment. Patients’ willingness to accept the diagnosis and their compliance to the treatment regime will ensure better prognosis. While initiating the treatment, it is vital to understand patients’ beliefs and perceptions about the disease and its therapy, which are influenced by their ethnic background, as this is likely to influence adherence and outcome.
In addition, there must be agreement or co-operation general between rheumatologist and primary healthcare regarding the management and monitoring of the patient. Medical education should be readily available and it will increase efficiency of rheumatology referral.
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I just wanted to inform you that Emblem is changing their underwriting guidelines effective May 1, 2010 stating that all 2+ groups must have at least 2 subscribers. The only exception to this new guideline is a family contract where both the husband and wife are on the NYS-45. Emblem has been sending out notices to all the effected subscribers to inform them that they do not qualify for the plan that they are on but are not offering them any other options. We are running reports on a monthly basis so that we can inform the clients of the other options available to them. The options that are available to the subscribers are as follows:
For a family contract they can add the spouse to the NYS-45 as a full time employee or on the K1 as partial owner of the company
If they are a single contract, they can add another employee on even if it is a high deductible plan with a low premium just so that they can stay on their plan
If they are not willing or do not have other employees we can put them on the Small Business Advantage plan or the CompreHealth which are not changing their guidelines as of right now.