January 11th, 2010 by RyanDuBosar in Better Health Network, News
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ACP Internist’s wrap-up of current events continues with ping-pong for health care reform, how the recession curbed health care spending and how legislation preventing patient-dumping can hurt the physicians required to provide treatment.
Health care reform
Negotiations for health care reform will avoid the formal conference procedure and instead negotiate directly. The “ping-pong” talks, which don’t have to be public, will send the bill back-and-forth between the House and Senate until both chambers agree. C-SPAN wants to televise the negotiations. The goal is to pass the legislation by a State of the Union speech scheduled for February. (Los Angeles Times, C-SPAN, Baltimore Sun)
The recession did what Congress has struggled to do–slow spending for health care. Spending on physicians and services rose by 4.4% in 2008 over the previous year, the slowest increase in 50 years of tracking by the Centers for Medicare and Medicaid Services. Still, spending totaled $2.3 trillion, or more than 16% of the entire economy. The credit freeze in the most recent recession may have dissuaded people from paying large deductibles. (AP, USA Today) Read more »
*This blog post was originally published at ACP Internist*
January 11th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Policy, Opinion
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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*
January 7th, 2010 by RamonaBatesMD in Better Health Network, Health Policy, Research
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I noticed this article title on MDLinx, then went to the Journal of Plastic and Reconstruction website to read the full article. The abstract is free to read, the full article requires a subscription.
The study was prompted by the authors noticing third party insurers increasingly deny coverage to patients with post traumatic and congenital facial deformities. This denial is often cited as due to the deformities not being seen as “functional” problems. The authors cite the recent facial transplants patients as having demonstrated that the severely deformed are willing to undergo potentially life-threatening surgery and extended chemotherapy in an attempt in look normal. Read more »
*This blog post was originally published at Suture for a Living*
December 28th, 2009 by EvanFalchukJD in Better Health Network, Health Policy, Opinion
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A friend sent me this interesting graph from the blog of the National Geographic.
You’ll have to click on it to see a bigger version. It captures a lot of data very elegantly on a single graph– Professor Tufte would love it.
What it shows is health care spending per person across a group of countries, along with life expectancies, average number of doctor visits per year, and whether a country has a system of universal health coverage. Although putting all of this data on one graph is novel, the graph makes what by now is one of the oldest political arguments for reform – for all the money they United States spends on health care we don’t get a good deal.
So why blog about this graph? Read more »
*This blog post was originally published at See First Blog*
December 27th, 2009 by Stanley Feld, M.D. in Better Health Network, Health Policy, Opinion
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Dr. Val Jones publishes Get Better Health an excellent healthcare website. https://getbetterhealth.com/
It is composed of a selection of many of her chosen healthcare bloggers. Val publishes blog entries of many contributors in her network daily. Val published my December 19th entry. It generated the following comment.
“Comment:
I am surprised that a diabetes doctor let his politics permeate his opinion of the AHRQ? We know that over 50% of the time patients don’t receive the standard of care and I would be interested to know what the numbers are like in his practice? Read more »
*This blog post was originally published at Repairing the Healthcare System*