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  1. NRG
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       #1  
    Hope all of the folks that work with medicare, who voted for Bush are happy.



    Source: NY Times

    WASHINGTON, July 16 ó The Bush administration says it plans sweeping changes in Medicare payments to hospitals that could cut payments by 20 percent to 30 percent for many complex treatments and new technologies.

    The changes, the biggest since the current payment system was adopted in 1983, are meant to improve the accuracy of payment rates. But doctors, hospitals and patient groups say the effects could be devastating.

    Federal officials said that biases and distortions in the current system had created financial incentives for hospitals to treat certain patients, on whom they could make money, and to avoid others, who were less profitable.

    Michael O. Leavitt, the secretary of health and human services, said the new system would be more accurate because payments would be based on hospital costs, rather than on charges, and would be adjusted to reflect the severity of a patientís illness. A hospital now receives the same amount for a patient with a particular condition, like pneumonia, regardless of whether the illness is mild or severe.
  2. #2  
    Quote Originally Posted by NRG
    Hope all of the folks that work with medicare, who voted for Bush are happy.
    My wife does, still happy.
  3. NRG
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       #3  
    Quote Originally Posted by Advance The Man
    My wife does, still happy.
    Wait till she finds out about this, on top of the RDA.
  4. #4  
    NRG, it should appeal to the socialist in you- cut back payments, limit services, have disgruntled healthcare providers... heck, it's like socialized medicine already!
  5. NRG
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       #5  
    Quote Originally Posted by Gasmeister
    NRG, it should appeal to the socialist in you- cut back payments, limit services, have disgruntled healthcare providers... heck, it's like socialized medicine already!
    Not really. I mean medicare was working pretty damn good, before deficets, wars, and higher gas prices. Would you not agree Medicare is fast w/ payments, reasonable pay outs as well. What I mean is, if you could, you would have been able base a pretty good practice around just medicare patients, no?
  6. cardio's Avatar
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    #6  
    Several groups no longer take medicare patients due to low reimbursment, especially to specialty practice areas. Medicare needs fixed, not sure the sweeping cuts are the fix, not real sure how to fix it other than first and foremost attack the fraud and the waste.
    "If It Weren't For The United States Military"
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  7. #7  
    Quote Originally Posted by NRG
    What I mean is, if you could, you would have been able base a pretty good practice around just medicare patients, no?
    No way. Absolutely not. The volume of patients you have to treat in an exclusively Care practice makes having a decent lifestyle impossible.
  8. #8  
    "Michael O. Leavitt, the secretary of health and human services, said the new system would be more accurate because payments would be based on hospital costs, rather than on charges, and would be adjusted to reflect the severity of a patientís illness."


    Isn't this a good thing if the concern is the growing costs and possible waste?
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  9. NRG
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       #9  
    Quote Originally Posted by Gasmeister
    No way. Absolutely not. The volume of patients you have to treat in an exclusively Care practice makes having a decent lifestyle impossible.
    Maybe in your area. Here on the Gulf Coast of Florida, it is pretty lucrative. The mix over here is something like 22% Medicare, 34% Private, 11% HMO, 17% PPO, and some others. Believe it or not Medicare pays more than most of the others listed above.

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