February 10th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Policy, Opinion
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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 10th, 2010 by BobDoherty in Better Health Network, Health Policy, Opinion
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… in national health care expenditures, that is. This, of course, is nothing new: spending on health care in the U.S. has long out-paced any other industrialized country. What is noteworthy is “the largest one-year increase in [health care’s] GDP share since the federal government began keeping track in 1960” blogs Chris Fleming, of Health Affairs. He writes that a new study shows that health care spending increased by an estimated 5.7 percent since 2008 despite a projected decline in the gross domestic product (GDP) in the same period.
The recession is having a big impact on respective roles of the public and private sectors. “Health spending by public payers is expected to have grown much faster in 2009 (8.7 percent growth, to $1.2 trillion) than that of private payers (3.0 percent growth, to $1.3 trillion)” Fleming writes, which is attributable to an increase in “projected growth in Medicaid enrollment (6.5 percent) and spending (9.9 percent) as a result of increasing unemployment related to the recession. Conversely, enrollment in private insurance is expected to have declined 1.2 percent in 2009, despite federal subsidies for Americans who have lost their jobs to extend their private insurance coverage via the Consolidated Omnibus Budget Reconciliation Act (COBRA) that increased participation in these plans.” Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
February 6th, 2010 by EvanFalchukJD in Better Health Network, Health Policy
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Prevention. Also, prevention, prevention, prevention, prevention,prevention, prevention,prevention, prevention, prevention, and prevention. Finally, prevention, prevention, prevention, spam, prevention,prevention, prevention,prevention, prevention,prevention, prevention, prevention, prevention.
I’m overstating it, but this was the major theme of the Employer Health and Human Capital Congress which I attended yesterday outside of Washington, DC. It’s a major event for benefits professionals and in spite of the pending snowpocalypse, was very well attended. I moderated a panel about how people need help navigating the health care system. But the gap between all the talk about prevention and the reality that a lot of people are going to get sick no matter what was the talk of this group. Read more »
*This blog post was originally published at See First Blog*
February 3rd, 2010 by AlanDappenMD in Primary Care Wednesdays
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Introduction: To those readers picking up this series for the first time, here’s a synopsis for you: Mrs. Doctor is a primary care physician who is in an unsavory marriage with Mr. Insurance. They care for their adult children (Patient 1, Patient 2, Patient 3…) with the following arrangement: Mr. Insurance will take care of all the financial requirements by paying Mrs. Doctor and to do all the caring and nurturing to keep the kids well.
Mrs. Doctor has come to realize that Mr. Insurance is a jerk and asks her to do more and more while giving less and less money for the care of the kids. Mr. Insurance refuses to see anything wrong with his relationship he has stonewalled all requests for marriage counseling. Mrs. Doctor began counseling on her own to ponder her dilemma through the impartial eyes and ears of a marriage and family therapist. Read more »
January 13th, 2010 by BobDoherty in Better Health Network, Health Policy
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Much of the debate about the health reform has been on whether or not it will lead to government-run health care. But the fact is that the government’s share of health care spending already is growing at a faster rate than private spending, a trend accelerated by the recent economic recession.
A new report from Medicare’s actuaries, published in the journal Health Affairs, found that “Federal government spending for health services and supplies increased 10.4 percent in 2008 . . . and accounted for almost 36 percent of federal receipts, up considerably from 28 percent in 2007. By comparison, spending for health care by private businesses grew just 1.2 percent in 2008, in part because of a drop in the proportion of employer-sponsored insurance premiums paid for by employers” while “health care spending by households grew 4.3 percent in 2008, a deceleration from 5.9 percent growth in 2007” but still more than the adjusted personal income growth of 2.7%.
The current economic recession, the authors say, had two major impacts on health spending: Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
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”.
