February 10th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Policy, Opinion
1 Comment »
I went to my physical therapist yesterday for knee treatment and we talked about the fact that Blue Cross is cutting their reimbursement to the point that the cost of providing care will not even be covered. All I could do was lament with him and listen. One insurer even told him (the owner of the business) to just “make the sessions shorter and don’t give as much care.” As if that is how it works…”You get little money..so just do a little”.
Clearly the insurance intermediaries, who never actually see a patient or deliver any care, haven’t got a clue how this whole health thing works. They are happy with mediocre doctors that cut time and care. Those doctors (and physical therapists) run mills, but the insurance companies are happy with them. Quality and quantity of time are not rewarded, and in fact are punished in the health care environment we have. Read more »
*This blog post was originally published at EverythingHealth*
February 2nd, 2010 by Toni Brayer, M.D. in Better Health Network, Opinion
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The organizations that rate hospitals and doctors have proliferated as the internet has become mainstream over the past 5 years. I’m sure you have seen some of these: U.S. World & News Reports, Consumer Reports Health, Health Grades, Leapfrog, Hospital Compare, Americas Best Doctors and 100 Best Hospitals. My local magazine lists the “top doctors” along with full page paid ads and promos that are very compelling. The questions is, do consumers care? Are these rating agencies really steering people toward top quality in health care?
Each of these agencies and organizations that “rate” have different measurements and criteria for their choices. The top rankings do not necessarily relate to quality outcomes. The Medicare data are two years old. Different treatments and conditions are judged, so a “top” hospital in one area may be a loser in another. Read more »
*This blog post was originally published at EverythingHealth*
January 23rd, 2010 by Toni Brayer, M.D. in Better Health Network, Opinion, Quackery Exposed
2 Comments »
The newest media Doc on the block is Dr. Mehmet Oz. When he was first seen on Oprah, he seemed engaging and answered some interesting questions in a real and professional way. The audience loved his blue scrubs and boyish clean cut open style.
That was then.
Let’s face it…the media spotlight seems to corrupt even the best physicians. Dr. Oz now has his own show and website and production company. That is a pretty big infrastructure to maintain and we know that the public is fickle. So what does he do?
His “Real-Age” website got 27 million people to sign up and take a health quiz. That information was sold to pharmaceutical companies who used the direct emails for marketing. Real-Age also sends the participants a series of emails about conditions they may (or may not) have and drugs they can use to treat it, based on their answers to the on-line health quiz, sponsored by drug companies of course. Read more »
*This blog post was originally published at EverythingHealth*
January 16th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Tips
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I can’t tell you the number of times women in their mid 40’s come to me and announce “Well, I’m ready to get pregnant”. Putting off pregnancy is understandable in our times. Women are building their careers, moving and traveling, going through a series of “Mr. Wrongs” and looking for the best baby-daddy. Women have thought that fertility was a given and they could get pregnant when the time was right. But, sadly, what they haven’t been told is the cruel trick of nature. Fertility doctors know…after age 29 your chance of having a baby without medical treatment is diminishing every year. After age 40 there is a precipitous drop.
To bring that fact home, check this out. A woman age 19-26 has a 50% chance of getting pregnant during any one menstrual cycle if she has intercourse two days prior to ovulation. For women age 27-34 the chance was 40% and after age 35 it drops to 30%. And at 40 you are only 1/2 as fertile as you were at 35. That is a sharp drop off! Read more »
*This blog post was originally published at EverythingHealth*
January 11th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Policy, Opinion
2 Comments »
Medicare, the government insurance company for everyone over age 65 (and for the disabled), pays fees to primary care physicians that guarantee bankruptcy. Additionally, 70% of hospitals in the United States lose money on Medicare patients. That’s right … for every patient over age 65, it costs the hospital more to deliver care than the government reimburses. That is why Mayo Clinic has said it will not accept Medicare payments for primary care physician visits at its Arizona facility. Mayo gets it. Nationwide, physicians are paid 20% less from Medicare than from private payers. If you are not paid a sustainable amount, you can’t make it up in volume. It just doesn’t pencil out. Read more »
*This blog post was originally published at ACP Internist*
I went to my physical therapist yesterday for knee treatment and we talked about the fact that Blue Cross is cutting their reimbursement to the point that the cost of providing care will not even be covered. All I could do was lament with him and listen. One insurer even told him (the owner of the business) to just “make the sessions shorter and don’t give as much care.” As if that is how it works…”You get little money..so just do a little”.
