January 1st, 2012 by BarbaraFederOstrov in Health Policy, News
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Medical Marijuana: Advocates are pushing forward a California ballot initiative that would create a Board of Medical Marijuana Enforcement to oversee the state’s burgeoning industry, Lisa Leff reports for the Associated Press. We’re imagining the snacks at board meetings.
Health Reform: California Healthline’s Dan Diamond highlights five health reform issuesfor reporters and policymakers to watch closely in 2012. First among them: the Supreme Court review of health reform’s constitutionality.
Medicare: Scammers create intricate webs of Read more »
*This blog post was originally published at Reporting on Health - The Reporting on Health Daily Briefing*
December 29th, 2011 by BobDoherty in Health Policy, News
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Last week, Speaker Boehner announced that the House and Senate have agreed on a two month extension of current Medicare payment rates, the payroll tax cut, and unemployment benefits.
My understanding is that the agreement has the House accepting the Senate’s proposal to extend the payroll tax break, unemployment insurance benefits, and current Medicare payment rates through the end of February, along with an agreement with the Senate to appoint a House-Senate conference committee to begin negotiations on a longer-term extension. It remains unclear exactly when the votes in the House and Senate will take place, and at least in the Senate, it will require unanimous consent by all Senators. If it passes both the House and Senate, Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
December 27th, 2011 by John Di Saia, M.D. in Health Policy, Opinion
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My dad’s wife called to ask if I could see a friend of my brother’s. This 30 year old woman had been “put through the ringer” by her HMO dermatologist. He looked at her nose diagnosed a “pre cancer” and treated her with freezing. Then he put her on a cream. The “wart” is still there and she can’t get in to see the doctor (actually a physician’s assistant) for 2 months.
Welcome to capitation medicine.
This evil creation of your local managed care plan pays a doctor Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
October 26th, 2011 by RamonaBatesMD in Health Policy, Opinion
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I have now completed three weeks at my new job with the Disability Determination Services office. I sort of knew there were two types of disability payments under SSI: Title II and Title XVI. Now I understand the differences much clearer.
I would urge everyone who can afford it to purchase disability insurance. As the person training me put it, “If you are disabled, you are still ‘costing’ your family in addition to not contributing to the family income.”
The big difference between the two (II and XVI) is that Read more »
*This blog post was originally published at Suture for a Living*
October 2nd, 2011 by Dinah Miller, M.D. in Health Policy
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Over on Shrink Rap News, Roy wrote a post about proposed Medicare cuts. He continued the conversation here on Shrink Rap.
I want to expand on the discussion in what I hope will be easy-to-understand terms. Why would anyone who is not a doctor even care what Medicare reimburses their docs? Let me tell you why you might care.
Doctors all have one of four designated categories within the Medicare system:
1) The doc participates and accepts Medicare assignment. The fee for the service is set by Medicare, the patient makes a co-pay and the doctor bills Medicare and gets the rest of the fee from Medicare.
2) The doctor is “non-participating” –which is a deceptive term, because non-participating docs are within the Medicare system. The fee for the service is set by Medicare and is typically 5% less then the fee for participating docs, but the patient pays the Medicare fee in full to the doctor, the doctor files a claim with Medicare, and Medicare reimburses the patient for a portion of the fee.
3) The doctor has formally opted-out. In this case, Read more »
*This blog post was originally published at Shrink Rap*
