February 17th, 2010 by DrRob in Better Health Network, Health Policy, Opinion
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I am going to state something that is completely obvious to most primary care physicians: I do not accept Medicare and Medicaid patients because it is good business, I accept them despite the fact that it is bad business.
In truth, I could make that statement about insurance as a whole; my life would be easier and my income would be less precarious if I did not accept any insurance. If I did, I would charge a standard amount per visit based on time spent and require payment at the time of that visit. This is totally obvious to me, and I suspect to most primary care physicians. A huge part of our overhead comes from the fact that we are dealing with insurance. A huge part of our headache and hassle comes from the fact that we are dealing with insurance. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
February 16th, 2010 by DaveMunger in Better Health Network, Health Policy, Opinion
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Last November, the National Football League devoted the entire month to breast cancer awareness. Players like Reggie Bush wore pink gloves, armbands, even shoes, to promote efforts to fight the disease.
There were some heartwarming moments. Players brought their mothers, grandmothers, and other women who’d battled breast cancer to the games, all of them wearing attractive pink game-day jerseys. Announcers told their own stories of “courageous” battles against the disease waged by friends and family members.
It’s powerful and inspiring, these overpaid hulks of manhood showing they’re secure enough in their masculinity to don feminine-ish garb to support their sisters and mothers.
But try to imagine the NFL — or any sports league — launching a similar campaign to fight HIV and AIDS. Which player would trot out a brother, sister, or father who’s HIV positive? Which television announcer would proudly point to the afflicted and speak of their “inspirational” battle with HIV?
In an NPR interview last week, Theresa Skipper talked about why she concealed her HIV diagnosis for 19 years: Read more »
*This blog post was originally published at The Daily Monthly*
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 10th, 2010 by Happy Hospitalist in Better Health Network, Opinion
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So know I hear that Medicaid preauthorization is required to administer vitamins in an outpatient setting. One of the greatest things about hospitalist medicine is I can give just about any medication I think is clinically justified to my patients in the hospital. I don’t have any doctor, Dr Nurse, or other third party insurance bureaucrat telling me I have to get preauthorization before my patient can receive care. I have at my disposal a 24 hour all you can eat pharmacy. Sometimes they don’t know what I’m ordering, and my Green Goddess doesn’t get filled. But generally speaking, I get what I ask for.
That’s not the way it works in the frustrating outpatient world of clinical medicine. Read more »
*This blog post was originally published at The Happy Hospitalist Blog*
January 29th, 2010 by Edwin Leap, M.D. in Better Health Network, Humor
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Classic presentation of the perfect patient
“What’s the problem? You’re the doctor,
why don’t you tell me!
I’m suffering an awful lot it must
be plain to see;
I’ve got back pain from that car wreck
back in nineteen sixty-five.
If I’d have worn my seat belt
there’s no way I’d be alive!
I’m out of my prescription and I
need help, I’m afraid.
I ain’t worried ‘bout the price, you see
I got my Medicaid. Read more »
*This blog post was originally published at edwinleap.com*
