The Medical Directors responsible for our Medical Policy Guidelines (MPG)
for the four Blue Cross and Blue Shield plans (Texas, Illinois, Oklahoma,
and New Mexico) include: Dr. Allan Chernov, Dr. W. Harms, Dr. P. Root and Dr.
One piece of information! We know these people are responsible for why these plans aren't covering CGMS.
Chernov is an internal medicine doctor...He is the director of medical policy for BCBS TX.
I don't have any specific suggestions, but I've heard the idea of reporting doctors to state medical boards stating that they need to be investigated for practicing incompetently and needing education to make proper decisions.
Another point is that the Standards of Medical Care in Diabetes indicate, "Continuous Glucose Monitoring may be a supplemental tool to SMBG for selected patients with type I diabetes, especially those with hypoglycemic unawareness."
This is listed here:
If this is used by BCBS, why are they refusing to cover CGMS per the standards they themselves cite?