Posted on 12/27/2014 12:08:38 PM PST by E. Pluribus Unum
WASHINGTON — Just as millions of people are gaining insurance through Medicaid, the program is poised to make deep cuts in payments to many doctors, prompting some physicians and consumer advocates to warn that the reductions could make it more difficult for Medicaid patients to obtain care.
(Excerpt) Read more at nytimes.com ...
They want drs to be employees of medical factories.
Engineering. Paid and with no say.
That isn’t 24 dollars an hour, that is 24 dollars a visit. Ten minutes per visit is 144 an hour plus NPs raking in same prices in other rooms.
“That isn’t 24 dollars an hour, that is 24 dollars a visit. Ten minutes per visit is 144 an hour plus NPs raking in same prices in other rooms.”
Thanks for the interesting information. I know that Obama doesn’t like for people to “rake in” money. He wants to spread it around. Perhaps Obama and Valerie Jarrett should sit down and decide how much of that 24 dollars the doctors and rich nurses should get.
Lot's of "receivers" in the Obama fascist world, less producers.
Access to care was always going to be the gatekeeping issue.
Doctors will eventually become government employees.
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Doctors are becoming bureaucrats. Not a place for creative curious risk-taking people.
We will get Russian level of care.
Yes. Dead last in a competitive class selected from the top 1% of college graduates further weeded out by a rigorous 4 year course of study. Dead last is relative.
DH and I plan to retire as soon as feasible. God willing that will be in the next few years. Get used to having your care by non English speaking non physician providers..... That is all that will be left
I was talking to my sister last night and the new medicaid rate they want her husband and all other doctors to accept is $30 per visit, flat, nothing out of pocket from the patient just a flat $30. He said that was a hell of a lot less than a plumber gets for a call and the plumber didn’t have all the years spent in college, the loans to pay back and the high malpractice insurance rates to pay each year. BTW he hates lawyers the way God hates sin and says because of them and the politicians they have bought off to protect the lawsuit racket we pay through the nose for medical care. This is in Virginia. He has never been sued.
When he worked in a hospital before going out on his own he said there were patients all day long I could examine, talk too, look at their medical history if I had access and run a couple of test and know what was wrong with them, but thanks to the lawsuit racket he would have to order an extra different couple of test to CYA, costing everyone more in the long run.
He is just flat out not going to accept working for nothing, he said he will close the doors first. Thus the continued $50 cash, no insurance, medicaid or medicare continues. He has had several offers for his practice which would leave him very comfortable the rest of his life.
I dont think there are any truly 10 minute visits. As a hospitalist I spend between 30 and 60 minutes per patient. Not all of that is in the room with the patient. They may think I only spend 5-10 min with them. The rest of the time is talking with their nurse, the other physicians on the case, writing orders and documenting in the chart. Medicare and medicaid do not pay enough for this time to keep afloat- we rely on private insurance and a subsidy from the hospital.
Would knowingly go to a “dead last”?
I dropped my family physician in 2008 after he told me he was going to vote for Obama. I didn’t want anybody that damn’d stupid taking care of my family. Educated and still plain old down right stupid.
One of my tenants worked for a doctor who specializes in Medicaid/ medicare patients. She said that last year they were seeing anywhere from 36 to 45 patients during the morning office visits. That works out to about 5 minutes per patient. In the afternoon and evening he would be busy at the hospital performing operations.
MDs have to deal with less qualified ARNPs and PAs.
PhDs have to deal with PsyDs. They are truly a bunch of idiots who have come to dominate the clinical field.
The growing ranks of the unqualified have cheapened both fields in terms of quality and reimbursement.
I earned a scholarship from my PhD program, but work with PsyDs in their 40s still paying 1K per month for their loans. They were academically unqualified for traditional programs. Some cannot get mortgages because student loans are considered unsecured debt. Most love Obama because he is expected to relieve their debts. I will retire the day that happens, if not sooner.
The EMR is supposed to fix that, we just are not there yet. Medicine will be a factor production operation. With “expectations and graphs”.
If it comes to that, it will be without me
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