Welcome to the Illinois Health Matters Blog

What health reform means for the people of Illinois

A blog by IllinoisHealthMatters.org

Wednesday, September 28, 2016

Our Section 1115 Recommendations

HDA's Emily Gelber-Maturo testified at a hearing September 9th and Barbara Otto submitted testimony at the joint hearing on September 20th on an 1115 waiver draft released the Illinois Department of Healthcare and Family Services. The waiver draft details a proposed overhaul of the behavioral health delivery system. Proposed expanded Medicaid benefits extend from care coordination in health homes to pre-tenancy services for supportive housing.

Recommendations to improve our 1115 Behavioral Health Transformation Waiver:


What’s an 1115 waiver?

Recently, the state proposed an ambitious plan to transform the Medicaid behavioral health system in Illinois. As part of its plan, the state proposes to use an 1115 waiver which would allow certain federal rules to be used so that federal funds could be used in ways that are otherwise not allowed. The catch is that the state must keep all efforts budget neutral for the federal government meaning that services provided have to be equal to what the feds would have spent within the state without the waiver.

The state plans to use both the 1115 waiver and state plan amendments to realize its transformation plan

As a reminder, Medicaid is paid for jointly by both federal and state funding. Illinois has proposed several things within this waiver, some of which will be allowed through the waiver, and others that will be included in state plan amendments. State Plan amendments are used to change program policies, benefits, or operational approaches of the Medicaid State Plan for Illinois. 1115 waivers and state plan amendments both change the way that Medicaid is delivered, but there is a significant difference between the two. The 1115 waiver is a demonstration that will last five years and allow the state to try new ideas within Medicaid that are not necessarily permanent, and can target certain populations. By contrast, the state plan amendment codifies (into law) Medicaid services that apply across the State. The 1115 waiver and state plan amendments will be used together to transform the Medicaid Behavioral Health delivery system.

Expanded benefits and new initiatives

The long-term vision for Illinois’ behavioral health system as articulated in the Behavioral Health Transformation 1115 waiver draft deserves applause. It includes a commitment to addressing social determinants of health, and expanding the Medicaid benefit package for people with serious mental illness and substance use disorders.

Expanded benefits proposed in the draft waiver include supported employment services and pre-tenancy supportive housing services, and new initiatives such as loan forgiveness and training for providers, integrated behavioral health homes, and expanded use of telemedicine. There’s even more, if you would like to read the draft yourself.

Recommendations for the transformation of the behavioral health system in Illinois

With any great system transformation, we need to contend with the realities of the short term. In order to implement many of the benefits and initiatives proposed in this waiver, we need to address systemic capacity, clarify roles of payers and providers, as well as improve infrastructure and accountability.

Invest in Mental Health Workforce and Infrastructure

Illinois would be wise to use the waiver to make much needed strategic investments in workforce and infrastructure in the short and long term. In order to enhance access to services and reduce unnecessary expenditures, prioritizing the assessment and diagnosis of mental illness and substance use disorders outside of the Emergency Department, the most expensive entry point to the health system, is paramount. Assessment and diagnosis should happen in community and outpatient settings. Because eligibility for services proposed in the waiver is closely tied to diagnoses, Illinois’ workforce challenges must be adequately addressed. Without much needed workforce improvements, the work simply can’t be done, and Illinois will fail to take full advantage of services promised through the proposed waiver.

Further, while the services are critical to proposed cost savings, Illinois needs enough providers, who are paid enough to cover their costs. This is not the current reality. Illinois needs rate reform for behavioral health providers, as well as reform to allow providers to work at the top of their license. Loan forgiveness and training, as described in the 1115 waiver draft, by themselves, are simply not enough. Though the waiver does reference expanding telehealth, which will likely help increase access to care, adequate rates are still needed to pay a provider on the other end of the screen.

The state should incorporate Medicaid infrastructure dollars to allow providers to keep pace, build capacity to bill, contract, and hire to provide services. We need to make sure that providers are sufficiently armed to do what is expected and best within their roles by investing in the infrastructure of the behavioral health system.

Clarify Roles of Providers and Payers

The waiver as drafted needs greater clarity on the roles of Managed Care Organizations vs. the roles of providers. As currently crafted, it appears the State is outsourcing a good deal of responsibility to MCOs and that Managed Care Organizations will be expected to implement service delivery. But the problem is that MCOs are payers, not providers. When the waiver addresses implementation of health homes and subsequent creation of a state plan amendment, providers and other stakeholders must be at the forefront of designing them. We don’t call our MCO when we need care, we call our doctor because that’s where the expertise lies.

Establish an Illinois Behavioral Health Transformation Team

In line with providing greater clarity of roles, the State needs to remain accountable for service delivery. The State should establish an Illinois Behavioral Health Transformation Team, comprised of stakeholders representing providers, advocates, and consumers, to provide guidance on the implementation of the waiver. With our state at a crossroads, operating with limited resources, taking advantage of the time and expertise of smart, dedicated, caring providers, advocates, and consumers, can help to shape the long-term transformation envisioned within this demonstration waiver. Advocates and others stand ready to help.

This waiver proposal contains several promising elements, but more is needed. The State must have a commitment to:
  • Increase capacity in the short term with Medicaid infrastructure investments and rate reform
  • Clarify roles - to make sure the right people are doing what they are best suited to do
  • Create responsive mechanisms for accountability

Without this, all the good ideas within this proposal will lack the critical support necessary to transform our behavioral health system for the better.


Emily Gelber-Maturo
Associate Director, Strategic Health Initiatives
Health & Disability Advocates

22 comments:

  1. If you want to get much from this piece of writing then you have to apply such techniques to your won webpage.

    Funeral Homes Website Design and Marketing Services with OptiMized360.Com

    ReplyDelete
  2. Great and very informative information it is. Thanks for sharing.
    Ben-Hur 2016 vf

    ReplyDelete
  3. Hey,
    Thanks for sharing such an amazing and informative post. Really enjoyed reading it. :)

    Apu

    Medical Case Management

    ReplyDelete
  4. Hello Everybody,
    My name is Mrs Sharon Sim. I live in Singapore and i am a happy woman today? and i told my self that any lender that rescue my family from our poor situation, i will refer any person that is looking for loan to him, he gave me happiness to me and my family, i was in need of a loan of S$250,000.00 to start my life all over as i am a single mother with 3 kids I met this honest and GOD fearing man loan lender that help me with a loan of S$250,000.00 SG. Dollar, he is a GOD fearing man, if you are in need of loan and you will pay back the loan please contact him tell him that is Mrs Sharon, that refer you to him. contact Dr Purva Pius,via email:(urgentloan22@gmail.com) Thank you.

    BORROWERS APPLICATION DETAILS


    1. Name Of Applicant in Full:……..
    2. Telephone Numbers:……….
    3. Address and Location:…….
    4. Amount in request………..
    5. Repayment Period:………..
    6. Purpose Of Loan………….
    7. country…………………
    8. phone…………………..
    9. occupation………………
    10.age/sex…………………
    11.Monthly Income…………..
    12.Email……………..

    Regards.
    Managements
    Email Kindly Contact: urgentloan22@gmail.com

    ReplyDelete
  5. Chuyên bán các sản phẩm gel titan làm to dv và |shop nguoi lon |do choi tinh duc dành cho nam và nữ giới duong vat gia gia re

    ReplyDelete
  6. SBORRATISSIMA DENTRO AL CULO: COSTANZA BARRAI, NATA A MILANO IL 1.1.1999! EX INTERNATIONAL SCHOOL MILAN. STA FACENDO FILM PORNO A GOGO. PRENDENDO NELL'ANO CAZZI "ESOTICI" LUNGHI PURE 32 CM! SODOMIZZATA DA SEMPRE DAL VERMINOSO PADRE PEDOFILO PAOLO BARRAI! 

    A PROPOSITO DI CRIMINALISSIMO QUALE...

    E' DAVVERO DA ARRESTARE SUBITO ( PRIMA CHE FACCIA AMMAZZARE ANCORA), IL TERRORISTA NAZIRAZZISTA ED ASSASSINO, PAOLO BARRAI, NATO A MILANO IL 28.6.1965. NONCHE' MEGA RICICLA SOLDI MAFIOSI E POLITI-C-RIMINALI, OSSIA FRUTTO DI MEGA RUBERIE E MEGA MAZZETTE, RICEVUTE DA LEGA LADRONA E STRAGISTA SPAPPOLA MAGISTRATI, NONCHE', TANTO QUANTO, NAZIFASCISTA DITTATORE E PEDOFILO: SILVIO BERLUSCONI! DICEVO, E' DAVVERO DA ARRESTARE UNA QUARTA VOLTA, E SUBITO, IL TERRORISTA NAZISTA ED ASSASSINO, PAOLO BARRAI. NON PER NIENTE, GIA' STATO IN GALERA 3 VOLTE. OPINIONI TUTTE TERRIFICANTI SU DI LUI! MEGA TRUFFATORE E MEGA RICICLA CASH ASSASSINO VIA CRIMINALISSIMA BLOCKCHAIN INVEST O VIA CRIMINALISSIMA BLOCKCHAININVEST CHE SIA, OLTRE CHE VIA CRIMINALISSIMA WMO SAGL LUGANO, CRIMINALISSIMA WORLD MAN OPPORTUNITIES LUGANO, CRIMINALISSIMA WMO SA PANAMA E CRIMINALISSIMA BSI ITALIA SRL DI VIA SOCRATE 26 MILANO! NOTO PEDOFIL-O-MOSESSUALE SODOMIZZA BAMBINI E RAGAZZINI! CACCIATO DA CITIBANK A SBERLE, PER MEGA FRODI CHE LI FACEVA! SBAGLIA SEMPRE IN BORSA! AZZERA I RISPARMI DI TANTISSIME PERSONE! FALSO&LADRO&TRUFFATORE! DIFFAMA SUL WEB A FINI NAZI-RAZZISTI! FONDATORE DEI NUOVI MEGASSASSINI TERRORISTI DI ESTREMISSIMA DESTRA: "NUOVI NAR"! FONDATORE DEL, PROSSIMAMENTE, DI FREQUENTE, OMICIDA: KU KLUK KLAN PADANO! CONDANNATO AL CARCERE A MILANO ED IN BRASILE ( 8 ANNI E PURE PER PEDERASTIA OMOSESSUALE, RIPETO, PURE PER PEDERASTIA OMOSESSUALE)! MULTATO DA CONSOB 70.000 €! DESTABILIZZA L'ITALIA PER FILO NAZISTI SERVIZI SEGRETI SVIZZERI ( ITALIA, DICEVAMO, DA 30 ANNI, GIUSTISSIMAMENTE, NAZIONE SCHIFATA IN TUTTO IL MONDO, IN QUANTO FASCIOMAFIOSA DITTATURA DI BERLUSCONIA.. NON PER NIENTE, TUTTE LE PIU' GRANDI INDUSTRIE, IN ITALIA DA SECOLI, DALLA TIRANNIASSASSINA DI BERLUSCONIA SON SCAPPATE, VEDI FIAT, PIRELLI, LUXOTTICA, MERLONI E MIGLIAIA E MIGLIAIA DI ALTRE... E CHE SIA CHIARO, PLS, CHE IDDIO BENEDICA I GRANDI PM CHE NON SOPPORTANTO IL CANCRO DEL MONDO INTERO, SILVIO BERLUSCONI, COME HENRY WOODCOCK, ILDA BOCASSINI E CHIUNQUE ALTRO DI QUESTA AMMIREVOLISSIMA CATEGORIA)! FA CRIMINI SU CRIMINI E NAZI-ST-ALKING, SU INTERNET, SU ORDINE DEI PUZZONI CRIMINALISSIM SILVIO BERLUSCONI, PAOLO BERLUSCONI ED UBALDO LIVOLSI DI FININVEST ( CHE DA ANNI FANNO GLI ADOLPH HITLER MISTI AD AL CAPONE, DEL WEB, ANCHE, MA DI CERTO, NON SOLO, CON QUEL VERME SCHIFOSAMENTE TERRORISTA DI GIULIO OCCHIONERO). INNEGGIANTE ALLO SPAPPOLAMENTO DI MAGISTRATI SCOMODI "COME BERLUSCONI GRANDISSIMAMENTE FECE CON FALCONE E BORSELLINO"! PAROLE SUE, DETTE SPESSISSIMO! ORGANIZZANTE OMICIDIO DI DAVID ROSSI DI MONTE PASCHI!

    DI TUTTO E DI PIU' SULL'AVANZO DI GALERA PAOLO BARRAI, QUI:
    https://es-es.facebook.com/public/Truffati-Da-Paolo-Barrai

    ReplyDelete

  7. Your site is realy cool and this is an awesome motivating article. Much thanks to you to such an extent. more hints

    leather horse saddles

    ReplyDelete
  8. Customers who have availed Mobilink Advance, and after availing have not recharged their account, would not be allowed to get further Mobilink Advance until they recharge their account with Rs.20 or more http://coronetboats.fi/lainaohjeet/vippi-pitkalla-maksuajalla/

    ReplyDelete
  9. my name is Mark Godwin am here to share testimony of how i got back my relationship that was scattered for months. we got married for more than 7 years and have gotten three kids. things were going well with us and we are always happy. until one day my wife started behaving in a way i could not understand, i was very confused by the way she treat me and the kids. for months she did not come home again and she called me for a divorce, i asked her what have i done wrong to deserve this from her, all she was saying is that she want a divorce that she hate me and do not want to see me again in her life, i was mad and also frustrated and do not know what to do,i was sick for more than 3 weeks i want to be reunited back with my husband in 2016 blog of her intention towards me. i love my wife so much and can do anything for her. i told my brother and he told me to contact a spell caster, i never ain all this spell casting of a thing. i just want to try if something will come out of it. i contacted DR Alexzander through his website, for the return of my wife to me, he told me that my wife have been taken by another man, that he cast a spell on her that was why she hate me and also want us to divorce. then they told me that they have to cast a spell on her that will make her return to me and the kids, Dr alexzander cast the spell and after 1 week my wife called me and she told me that i should forgive her, she apologizes on phone and said that she did not know what happened to her. it was the spell that DR Alexzander cast on her that made her return back to me today,me and my family are now happy again. thank you Dr Alexzander for what you have done for me i would have been nothing today if not for HIS great spell. i want all my friends who are passing through all this kind of love problem of getting back their husband, wife , or ex boyfriend and girlfriend to contact {alexzanderhightemple@gmail.com or through his whatsapp number +2348075823891 Or call him with this phone number +2347068836760 if you need a supernatural great wizard to cast a spell for you. email Dr alexzander and you will see that your problem will be solved without any delay.These are the few things he also do for people. *do you need rapid and undeserved promotions in your offices or work? Dr alexzander can bring back lost lovers on 96hrs and can cast all kind of spell. Dr alexzander is a healer that is here on earth to solve your problems just as he did to mine.this is your chance to be helped quickly by Dr alexzander.his an expert in distance healing, court cases even if one is convicted. he can do all manner of spell that you may need in life.he can also make you conceive a child and win money through gambling and other things you may desire to have in life. contact him and be the next to share his good work to the world. alexzanderhightemple@gmail.com.

    ReplyDelete
  10. my name is Mark Godwin am here to share testimony of how i got back my relationship that was scattered for months. we got married for more than 7 years and have gotten three kids. things were going well with us and we are always happy. until one day my wife started behaving in a way i could not understand, i was very confused by the way she treat me and the kids. for months she did not come home again and she called me for a divorce, i asked her what have i done wrong to deserve this from her, all she was saying is that she want a divorce that she hate me and do not want to see me again in her life, i was mad and also frustrated and do not know what to do,i was sick for more than 3 weeks i want to be reunited back with my husband in 2016 blog of her intention towards me. i love my wife so much and can do anything for her. i told my brother and he told me to contact a spell caster, i never ain all this spell casting of a thing. i just want to try if something will come out of it. i contacted DR Alexzander through his website, for the return of my wife to me, he told me that my wife have been taken by another man, that he cast a spell on her that was why she hate me and also want us to divorce. then they told me that they have to cast a spell on her that will make her return to me and the kids, Dr alexzander cast the spell and after 1 week my wife called me and she told me that i should forgive her, she apologizes on phone and said that she did not know what happened to her. it was the spell that DR Alexzander cast on her that made her return back to me today,me and my family are now happy again. thank you Dr Alexzander for what you have done for me i would have been nothing today if not for HIS great spell. i want all my friends who are passing through all this kind of love problem of getting back their husband, wife , or ex boyfriend and girlfriend to contact {alexzanderhightemple@gmail.com or through his whatsapp number +2348075823891 Or call him with this phone number +2347068836760 if you need a supernatural great wizard to cast a spell for you. email Dr alexzander and you will see that your problem will be solved without any delay.These are the few things he also do for people. *do you need rapid and undeserved promotions in your offices or work? Dr alexzander can bring back lost lovers on 96hrs and can cast all kind of spell. Dr alexzander is a healer that is here on earth to solve your problems just as he did to mine.this is your chance to be helped quickly by Dr alexzander.his an expert in distance healing, court cases even if one is convicted. he can do all manner of spell that you may need in life.he can also make you conceive a child and win money through gambling and other things you may desire to have in life. contact him and be the next to share his good work to the world. alexzanderhightemple@gmail.com.

    ReplyDelete
  11. I'm Sara Frédéric from Switzerland I want to let the whole world know how Dr Great has restored my broken relationship with Wayne. We have been together for 2 1/2 years and he told me that he doesn’t love me like he used to. Things have not been good for about 4 months and he ended this about 2 weeks ago. I was miserable and just don’t want to go on anymore. I did text him right after this but he didn’t even respond to me. One day I was searching for something on the Internet when I saw a post of a love spell caster called Dr Great and how he helped a lady to get back her Ex, I was so desperate to get mine back I messaged him and explained my situation to him and he instructed me to do somethings which I did and 24 hours later my boyfriend Wayne came back home kneeling and begging for my forgiveness and I forgave him and our relationship was back to normal again if your Ex broke up with you or you have any problem then you problem has come to an end because God is using Dr Great to solve all our problems and put a smile on our faces if you need his urgent help email him at infinitylovespell@gmail.com

    ReplyDelete
  12. Gout Research Study
    A local research clinic is evaluating an investigational medication for gout pain. Study medication and all study-related procedures are provided at no cost to qualified participants. If you’re experiencing a gout flare, learn more about the anaGO study.
    https://studyscavengerapp.com/clinical-investigation-specialists-cis-research-paid-clinical-trial-gout-flare-pain-gurnee-il-near-chicago-il/

    #gout #uricacid #milwaukee #IL

    ReplyDelete
  13. Your site is realy cool and this is an awesome motivating article.I have a small site about shop nguoi lon and need help: https://shopvochong24h.com/

    Thanks for sharing such an amazing and informative post. Really enjoyed reading it. :)

    ReplyDelete
  14. Irrespective of receiving daily oral or future injectable depot therapies, these require health care visits for medication and monitoring of safety and response. If patients are treated early enough, before a lot of immune system damage has occurred, life expectancy is close to normal, as long as they remain on successful treatment. However, when patients stop therapy, virus rebounds to high levels in most patients, sometimes associated with severe illness because i have gone through this and even an increased risk of death. The aim of “cure”is ongoing but i still do believe my government made millions of ARV drugs instead of finding a cure. for ongoing therapy and monitoring. ARV alone cannot cure HIV as among the cells that are infected are very long-living CD4 memory cells and possibly other cells that act as long-term reservoirs. HIV can hide in these cells without being detected by the body’s immune system. Therefore even when ART completely blocks subsequent rounds of infection of cells, reservoirs that have been infected before therapy initiation persist and from these reservoirs HIV rebounds if therapy is stopped. “Cure” could either mean an eradication cure, which means to completely rid the body of reservoir virus or a functional HIV cure, where HIV may remain in reservoir cells but rebound to high levels is prevented after therapy interruption.Dr Itua Herbal Medicine makes me believes there is a hope for people suffering from,Parkinson's disease,Schizophrenia,Cancer,Scoliosis,Fibromyalgia,Fluoroquinolone Toxicity
    Syndrome Fibrodysplasia Ossificans Progressiva.Fatal Familial Insomnia Factor V Leiden Mutation ,Epilepsy Dupuytren's disease,Desmoplastic small-round-cell tumor Diabetes ,Coeliac disease,Creutzfeldt–Jakob disease,Chronic Fatigues Syndrome,Cerebral Amyloid Angiopathy, Ataxia,Arthritis,Amyotrophic Lateral Sclerosis,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic diseases.Hiv_ Aids,Herpes,Inflammatory bowel disease ,Copd,Diabetes,Hepatitis,I read about him online how he cure Tasha and Tara so i contacted him on drituaherbalcenter@gmail.com even talked on whatsapps +2348149277967 believe me it was easy i drank his herbal medicine for two weeks and i was cured just like that isn't Dr Itua a wonder man? Yes he is! I thank him so much so i will advise if you are suffering from one of those diseases Pls do contact him he's a nice man.

    ReplyDelete
  15. I'm 15 years old. I was born with HIV my mother passed away because of the HIV infection And I regret why i never met Dr Itua he could have cured my mum for me because as a single mother it was very hard for my mother I came across Dr itua healing words online about how he cure different disease in different races diseases like HIV/Aids Herpes,Parkison,Asthma,Copd,Epilepsy,Shingles,Cold Sore,Infertility, Chronic Fatigues Syndrome,Fibromyalgia, Diabetes Hepatitis even Cancer I was so excited but frighten at same time because I haven't come across such thing article online then I contacted Dr Itua on Mail drituaherbalcenter@gmail.com I also chat with him on what's app +2348149277967 he tells me how it works then I tell him I want to proceed I paid him so swiftly Colorado post office I receive my herbal medicine within 4/5 working days he gave me guild lines to follow and here am I living healthy again can imagine how god use men to manifest his works am I writing in all articles online to spread the god work of Dr Itua Herbal Medicine,He's a Great Man.

    ReplyDelete

  16. I was born epileptic, but I am now free and cured with Dr Itua Herbal Made Medicine. I was seventeen and sitting at my computer when I fell out of my chair. Only thing I remember is waking up with the worse headache I had ever had in my life. I had never taken medication and I hated swallowing pills but I had to start. I switched between all kinds of medication because I didn't take them like I was supposed to. One day I had just finished running errands and was at my sisters house when I fell to the floor again. I woke up with a bad headache and my 2 year old Niece leaning over my leg asking me if I was OK. By then I had just started college and was one the verge of losing my license. My school is an hour away from where I live so I really got set back because I wasn't allowed to drive until I got my seizures under control. I would love to know how others have handles their epilepsy! So My sister friends Emma Told my sister about a herbal Doctor who reside in west Africa(Nigeria) Because Emma is from Africa as well, My sister told me about it then we decided to give a try. My sister contacted him also tell him about my autism too.he assures my sister that his herbal medicine will cure my epilepsy and my autism, I paid for the herbal medicine then he delivered to Charleston Post office I was called to pick it up which i quickly did, I drank it for two weeks as prescribed happily I went for diagnose and find out my Epilepsy and Autism is gone and today making it 9 Months and I'm now free from Autism, Seizure and Epilepsy, I will continue to share Dr Itua Natural Herbal Medicine works. I will recommend Dr Itua to anyone who suffering from,,,AUTISM, EPILEPSY, SEIZURE, COLD SORE, HERPES, HIV/AIDS.Shingles,Genitals Herpes,Dr Itua Contact Information..... Email...drituaherbalcenter@gmail.com.... WhatsApp Number....+2348149277967. Live Happily Again With Dr Itua Herbal Made Medicine....

    ReplyDelete
  17. There are some natural remedies that can be used in the prevention and eliminate diabetes totally. However, the single most important aspect of a diabetes control plan is adopting a wholesome life style Inner Peace, Nutritious and Healthy Diet, and Regular Physical Exercise. A state of inner peace and self-contentment is essential to enjoying a good physical health and over all well-being. The inner peace and self contentment is a just a state of mind.People with diabetes diseases often use complementary and alternative medicine. I diagnosed diabetes in 2000. Was at work feeling unusually tired and sleepy. I borrowed a glucometer from a co-worker and tested at 760. Went immediately to my doctor and he gave me prescibtion like: Insulin ,Sulfonylureas,Thiazolidinediones but Icould not get the cure rather to reduce the pain abd brink back the pain again. I found a woman testimony name Comfort online how Dr Akhigbe cure her HIV  and I aslo contacted the doctor and after I took his medication as instructed, I am now completely free from diabtes by doctor Akhigbe herbal medicine.So diabetes patients reading this testimony to contact his email     drrealakhigbe@gmail.com   or his Number   +2348142454860   He also use his herbal herbs to diseases like:SPIDER BITE, SCHIZOPHRENIA, LUPUS,EXTERNAL INFECTION, COMMON COLD, JOINT PAIN, EPILEPSY,STROKE,TUBERCULOSIS ,STOMACH DISEASE. ECZEMA, PROGERIA, EATING DISORDER, LOWER RESPIRATORY INFECTION,  DIABETICS,HERPES,HIV/AIDS, ;ALS,  CANCER , MENINGITIS,HEPATITIS A AND B,ASTHMA, HEART DISEASE, CHRONIC DISEASE. NAUSEA VOMITING OR DIARRHEA,KIDNEY DISEASE, WEAK ERECTION.,PAINFUL OR IRREGULAR MENSTRUATION.Dr Akhigbe is a good man and he heal any body that come to him. here is email    drrealakhigbe@gmail.com    and his Number +2348142454860.

    ReplyDelete
  18. After password, Binance two-factor authentication is the only element that keeps your account free from security troubles and protect it. If Binance two-factor authentication not working properly and you are not looking for guidance, you can always ask for help from the team of elite executives who are there to assist you. You can call on Binance customer care number 1 (833) 993-0690 which is always functional and users can have conversation with the team related to all queries and get approachable and remedial solutions from them in nick of time.

    ReplyDelete

  19. I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
    liver already present. I started on antiviral medications which
    reduced the viral load initially. After a couple of years the virus
    became resistant. I started on HEPATITIS B Herbal treatment from
    ULTIMATE LIFE CLINIC(www.ultimatelifeclinic. com) in March, 2020. Their
    treatment totally reversed the virus. I did another blood test after
    the 6 months long treatment and tested negative to the virus. Amazing
    treatment! This treatment is a breakthrough for all HBV carriers.

    ReplyDelete