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View Diary: The last battle for single-payer (67 comments)

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  •  Another Anecdotal Confirmation (3+ / 0-)
    Recommended by:
    ladybug53, tbirchard, ZedMont

    I have a brother practicing in Upstate NY, who doesn't bother to bill for many services where patients have Medicare coverage.  As he explained over Thanksgiving turkey, Medicare pays $23 for ___ (I don't remember what it was), and it costs me $28 to send them the bill.  Of course, that means that the number of Medicare patients he sees must be limited.  I should also note he says that Medicare pays a very low rate in the rural area in which he practices, and substantially more in a place like NY City.  

    •  also the report in CA - big differential (3+ / 0-)
      Recommended by:
      Mr Robert, salmo, ZedMont

      in urban/rural payments. And a "rural" designation is sticky - it can continue long after an area becomes urbanized.

      Medicare Advantage was instituted, IIRC, to provide payments that were more in line with costs.

      But would Docs have to pay so much for billing (e.g., employing a full time dedicated billing team) under a single payer system? Many Docs had to deal with as many as 25 different insurance plans on a regular basis. They longed for single payer.

      I surveyed a random sample of CA Docs at one point about their reasons for/against participating in a government funded special program for women's cancer care. Some were reluctant to take patients who are not like their regular patients - clean, well to do, long covered by health insurance.  Apparently some of their long term patients were also uncomfortable in the waiting room when other patients were from a "different" demographic.

      The most common reason for not participating in the cancer care program, tho', were  persistent delays in reimbursements. Many Docs intended to close their practices because of delays in payments and the demographics of their new patients.

      "There's nothing serious about a plan that claims to reduce the deficit by spending a trillion dollars on tax cuts for millionaires and billionaires." - President Obama

      by fhcec on Sat Sep 01, 2012 at 02:04:43 PM PDT

      [ Parent ]

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