November 23rd, 2009 by DrWes in Better Health Network, Health Policy, News, Opinion
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Should there be a premium added to physician compensation for on-call coverage after hours, or are Medicare rates enough?
This appears to be the central question between two competing hospitals in Longview, Texas where a $300,000 stipend was paid to a cardiology group by one hospital and not the other for cardiology on-call coverage.
Guess which one the doctors are promoting now? Read more »
*This blog post was originally published at Dr. Wes*
November 16th, 2009 by DrWes in Better Health Network, Health Policy
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I don’t mind health reform. In fact, I believe we need it. But when reform bills fund projects that already exist, or fund special projects for other non-health care professionals, like lawyers, I have to wonder what Congress is doing.
The recently passed House bill (H.R. 3962 pdf) contains a multitude of grants and “demonstration projects.” I wasn’t sure what some of these grants were meant to support, so I looked them up. I was surprised to find that many of the grants duplicate programs or departments already in place. While this list is by no means comprehensive, I thought I would provide a few comments on a few of these grants shown in italics): Read more »
*This blog post was originally published at Dr. Wes*
November 10th, 2009 by DrWes in Better Health Network, True Stories
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“Doc, I’ve got good news and bad news.”
“What’s that?”
“Well, I’ve lost six more pounds!”
“Wonderful! What’s the bad news?”
“Well, you know that new-fangled drug you gave me that works so well for my atrial fibrillation?”
“Yes.”
“We’ll, I’m part of that AARP Medicare Advantage Part D drug plan, and I just got the “partial” approved drug list for 2010 in the mail. My drug’s not on the list, so I called and found the drug’s been moved from a Tier II drug to a Tier III drug. That means it will cost me twice what I paid for it this year. That’s gonna be tough, doc. I can’t afford it.
But I also read that if you call this ‘800’ number and speak to them, they’ll allow me to obtain an exemption to keep the drug on Tier II for next year.” Read more »
*This blog post was originally published at Dr. Wes*
October 31st, 2009 by DrWes in Better Health Network, Humor
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… they can get creative with “pump-kin” decorating:
*This blog post was originally published at Dr. Wes*
October 27th, 2009 by DrWes in Better Health Network, Health Policy, True Stories
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I had an interesting visit with the husband of my niece last evening. He works as an ER doctor that is self-insured group of 60 physicians that cover the ER needs of four hospitals in Clark County near Las Vegas.
What is interesting is they are self-insured to save costs. As a group, then, they know how much per patient they must collect to assure liability care for every patient that comes to their emergency rooms.
That amount is $17 per patient per visit.
Guess how much their group receives for care they render to a Medicaid patient for a “level two” visit (minor problem: ear ache, sore throat, etc.)
Fourteen dollars per visit. Read more »
*This blog post was originally published at Dr. Wes*