June 14th, 2010 by Shadowfax in Health Policy, Opinion
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This is something I haven’t seen reported on elsewhere, but according to the ACEP 911 Legislative Network Weekly Update, there was an interesting twist in the Democrats’ proposed SGR fix:
The latest plan increases physician payments by 1.3% for the remainder of this year and by an additional 1% in 2011. In 2012 and 2013, physician services would be separated into two categories, or “buckets.” One bucket would be for E&M services (including emergency department, primary and preventive care) and the other group would include all other services. The E&M bucket would increase at the same rate as the U.S. gross domestic product (GDP) plus 2%, while the other group would receive a payment increase of GDP plus 1%.After 2013, the payment formula would revert back to the current SGR formula, which means physicians would face cuts in the range of 30-35% unless Congress intervenes.
So it’s another temporary fix, kicking the can past the next presidential election. But it’s the first one I have seen that attempts to address the gross disparity in reimbursement for procedural services compared to the cognitive services. It bypasses the RUC and almost every other existing mechanism for determining reimbursement under the MPFS.
I’m not sure what happened with this proposal. I don’t think it was in the version of legislation the House passed, so I think it might be dead. But the situation is so in flux that who really knows? If nothing else, it’s an encouraging sign that policymakers know the problem exists and are willing to throw out possible solutions. This one may be dead, but it’s a good start.
*This blog post was originally published at Movin' Meat*
June 14th, 2010 by GarySchwitzer in Better Health Network, Health Policy, News, Opinion
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In recent days, news readers/viewers/listeners have been bombarded with news from the big American Society of Clinical Oncology conference in Chicago. But how does some of this stuff become news? Read an excellent post by an excellent reporter, Ron Winslow of the Wall Street Journal, to see some of the crazy, ugly sausage-making that goes on in the manipulation of the media. In the example Winslow raises, what may be packaged as news really isn’t “new” — which is often the case.
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
June 14th, 2010 by RyanDuBosar in Better Health Network, Health Policy, News
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Senators visited their districts Friday and again today, so the earliest they could vote on the doc fix is tomorrow (6/15) — the day the 21.3 percent reimbursement cut takes effect.
Slowing down the process are the numerous amendments. For example, the duration of the fix is still being negotiated. And there are amendments such as redefining what makes up a rural health district. In California, some rural areas are seeing urban levels of patient demand, but giving more money to these counties is being seen as a kickback akin to others that were proposed during healthcare reform. (Part B News, The Hill)
*This blog post was originally published at ACP Internist*
June 13th, 2010 by Gwenn Schurgin O'Keeffe, M.D. in Audio, Better Health Network, Health Tips, Opinion
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When should small kids get online? Is there a magic age? Is there a “best” way to start? What websites should small kids begin their online life with? And, most importantly, is it safe for small kids to be online?
Tune in as Dr. Gwenn talks about helping your youngest kids begin their online safely and smartly with you there as their earliest online guides. Listen to the show on BlogTalkRadio here.
*This blog post was originally published at Dr. Gwenn Is In*
June 13th, 2010 by Medgadget in Better Health Network, News, Research
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Research scientists at the Fraunhofer Institute for Mechanics of Materials IWM in Freiburg, Germany, have developed a helmet that will make you think twice about continuing to cycle with a damaged helmet.
For maximum protection, safety helmets need to be damage-free, but it’s often impossible to know if a helmet is actually flawed after it’s been dropped or hit by something. The researchers have used polymers that start to smell if there are any small cracks, and will really stink in the case of any large cracks. Read more »
*This blog post was originally published at Medgadget*
