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

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  •  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

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