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As Docs Face Big Cuts In Medicaid Pay, Patients May Pay The Price
Kaiser Health News ^ | December 23, 2014 | By Phil Galewitz

Posted on 12/23/2014 2:27:35 PM PST by Oldeconomybuyer

Andy Pasternak, a family doctor in Reno, Nev., has seen more than 100 new Medicaid patients this year after the state expanded the insurance program under the Affordable Care Act.

But he won’t be taking any new ones after Dec. 31. That’s when the law’s two-year pay raise for primary care doctors like him who see Medicaid patients expires, resulting in fee reductions of 43 percent on average across the country, according to the nonpartisan Urban Institute.

The challenge is to convince physicians not just to continue accepting such patients but to take on more without getting paid what they’re used to, said Dr. J. Mario Molina, CEO of Molina Healthcare, one of the nation’s largest Medicaid insurers.

Low reimbursement rates are not the only reason doctors’ avoid Medicaid. High patient no-show rates also make private physicians reluctant about participating.

(Excerpt) Read more at kaiserhealthnews.org ...


TOPICS: Constitution/Conservatism; Culture/Society; News/Current Events; Politics/Elections
KEYWORDS: 0carenightmare; grubercare; medicaid; medicaidexpansion; obamacare; obamacaredoctors; rinocare; sociaism

1 posted on 12/23/2014 2:27:35 PM PST by Oldeconomybuyer
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To: Oldeconomybuyer

Bwahahahahahahahahaaaaaaaaaaaaaaaaaaaaaaaa to all medicaid participants who vote for LIBs/DIMs. Have a Merry Christmas!


2 posted on 12/23/2014 2:30:16 PM PST by hal ogen (First Amendment or Reeducation Camp?)
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To: Oldeconomybuyer

Doctors’ fault for letting what should have been a voluntary “guild” arrangement turn into a government agency that put their cods in a vice.

KYPD


3 posted on 12/23/2014 2:35:06 PM PST by petro45acp (Grubbers "stupid" electorate is starting to look very much like Romney's 47%. Just sayin...)
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To: Oldeconomybuyer

Good.


4 posted on 12/23/2014 2:43:19 PM PST by Wolfie
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To: Oldeconomybuyer

How long until Rats try to force doctors to accept Medicaid patients in order to keep their medical licenses?


5 posted on 12/23/2014 2:45:04 PM PST by reaganaut1
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To: Oldeconomybuyer

I get beat up a lot on other sites for pointing out that Texas didn’t take the Obamacare Medicaid bait.

Then it occurred to me that adding a million or so Texans with the right to see a doctor at any time, without having to pay anything, is probably the LAST THING that our medical system needs - as the Medicaid expansion DOES NOTHING to provide doctors for those million new people...and at $50 per visit, neither are there any incentives to have more doctors. So we wind up with VERY CROWDED doctor’s offices.

Smart move on Perry’s part...it’s good to see him get something right, for once.


6 posted on 12/23/2014 2:48:55 PM PST by BobL (I'm so old, I can remember when most hate crimes were committed by whites - Thomas Sowell, 2014)
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To: Oldeconomybuyer

The writer nailed it. It’s not just below cost reimbursement rates for Medicaid, it’s that Medicaid patients No Show FAR more often than other patients. They have a minimal copay of $1 and no real skin in the game. There are also the most pathological and the least likely to benefit from treatment.


7 posted on 12/23/2014 2:52:52 PM PST by neocon1984
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To: Oldeconomybuyer

If I have a “fundamental” right to your labor, what does that make you besides a Doctor??


8 posted on 12/23/2014 4:22:23 PM PST by eyeamok
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To: neocon1984

So get paid less for those who do show up, don’t get paid when they don’t, and risk getting less money if the patients least likely to follow directions get sicker.
No wonder on one wants to take Medicaid patients.


9 posted on 12/23/2014 4:45:37 PM PST by tbw2
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