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As Medicaid grows, will there be more cuts to provider payments?
The Connecticut Mirror ^ | June 25, 2015 | By: ARIELLE LEVIN BECKER

Posted on 06/25/2015 3:28:19 PM PDT by Oldeconomybuyer

Dr. Gary Dee figured the state’s fiscal troubles would lead radiologists like him to face a cut in their Medicaid payment rates. But he wasn’t anticipating the 42.5 percent cut Gov. Dannel P. Malloy’s administration imposed this spring.

Now, Dee’s private practice has stopped taking new Medicaid patients.

“The reimbursement is to the point where we can’t take care of these patients. They’re going to lose access,” said Dee, president of MidState Radiology Associates in Meriden.

The result is that it could become harder for the more than 725,000 state residents with Medicaid to find specialists to treat them, undermining the effectiveness of the expansion of Medicaid coverage that took place as part of the federal health law.

“Cutting rates inevitably means fewer providers participating, and fewer providers participating, if we continue with this trend, can make the Medicaid expansion a hollow expansion,” said Sheldon Toubman, an attorney with the New Haven Legal Assistance Association. “Because although on paper they have good coverage in terms of benefits, and no cost-sharing obligations, in reality, they can’t find specialists willing to see them.”

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


TOPICS: Constitution/Conservatism; Culture/Society; News/Current Events; US: Connecticut
KEYWORDS: 2016election; abortion; deathpanels; election2016; obamacare; rinocare; scotuscare; socialism; zerocare

1 posted on 06/25/2015 3:28:19 PM PDT by Oldeconomybuyer
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To: Oldeconomybuyer

Down the road....maybe quite a ways....All doctors will be Federal Employees...with government guide lines...aka...death panels.


2 posted on 06/25/2015 3:30:25 PM PDT by Sacajaweau (s)
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To: Sacajaweau

Not that far down the road IMO.


3 posted on 06/25/2015 3:33:18 PM PDT by DoughtyOne (Conservatism: Now home to liars too. And we'll support them. Yea... GOPe)
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To: Oldeconomybuyer
well... the majority of them voted for it, NOW EAT IT!!!
4 posted on 06/25/2015 3:36:36 PM PDT by Chode (Stand UP and Be Counted, or line up and be numbered - *DTOM* -w- NO Pity for the LAZY)
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To: Oldeconomybuyer
I love the idiot bureaucrat who thinks doctors getting reimbursement cuts will "make it up on volume." IOW healthcare services delivery managed by flunkies with no idea what they're doing.
5 posted on 06/25/2015 3:40:51 PM PDT by hinckley buzzard
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To: Sacajaweau
Nope the next step is to make compulsory the participation and acceptance of all Medicaid patients as a requirement for retaining state licensure OR the Feds variation where you could lose your narcotics license if you choose not to participate.
6 posted on 06/25/2015 3:43:10 PM PDT by Cyman (We have to pass it to see what's in it= definition of stool sample)
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To: Oldeconomybuyer

Medicaid was a perversion from the very start, because it tried to institutionalize and mandate charity by the national government (no longer call it federal, because it isn’t).

And, as H.L. Mencken observed, “When man ‘A’ takes from man ‘B’ to reward man ‘C’, then man ‘A’ is a S.O.B.”

In any even, the fastest way to restore order to both Medicaid and Medicare is to make the money for both as bloc grants to the states, for them to decide how to use. And once that years’ bloc grant is exhausted, any additional money must come from the state, if it so chooses.

As things are now, costs will continue to rise, and benefits to shrink, until the programs would consume our entire budget and do nothing at all.


7 posted on 06/25/2015 3:47:16 PM PDT by yefragetuwrabrumuy ("Don't compare me to the almighty, compare me to the alternative." -Obama, 09-24-11)
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To: Sacajaweau
Down the road....maybe quite a ways....All doctors will be Federal Employees...with government guide lines...aka...death panels.

I didn't expect that it would be possible to supply more health care at a lower price while doing nothing about increasing the supply of people supplying the health care.

Next, the people supplying the health care will be working for DMV? That should work out really well.

(Tucked deeply into the bill that nobody read is a provision for concierge care practices. Really.)

8 posted on 06/25/2015 3:57:29 PM PDT by Sooth2222 ("In a democracy people get the leaders they deserve." - Joseph de Maistre, 1753-1821)
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To: yefragetuwrabrumuy

>>As things are now, costs will continue to rise, and benefits to shrink, until the programs would consume our entire budget and do nothing at all.

They will buy your pain pills, as Obama indicated. Morphine tablets can be had for mere pennies. With a little phenobarbital and some mirtazepam, you’ll go out with a blissful, if confused, smile on your face.

Such is the “charity” of the state.


9 posted on 06/25/2015 3:58:16 PM PDT by oblomov
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To: Cyman
"Nope the next step is to make compulsory the participation and acceptance of all Medicaid patients as a requirement for retaining state licensure"

Exactly. There are precious few doctors right now that take new Medicaid patients. And none that I know that take it exclusively.

They simply CAN'T.

It's literally a money LOSING proposition.

You can't pay the bills when your services are paid pennies on the dollar for what they are worth.

10 posted on 06/25/2015 4:05:08 PM PDT by boop (Hey, stoop, that's got gears. It ain't no Ford.)
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To: yefragetuwrabrumuy

The ACA seems to rule out any meaningful state ‘administration’.

The most likely outcome is for the states to be required to quit balancing their budgets. That can probably be done by a simple Federal law (not sure).


11 posted on 06/25/2015 4:06:40 PM PDT by mrsmith (Dumb sluts: Lifeblood of the Media, Backbone of the Democrat/RINO Party!)
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To: Oldeconomybuyer

From the article: “The reimbursement is to the point where we can’t take care of these patients. They’re going to lose access,” said Dee, president of MidState Radiology Associates in Meriden.

Oh, that will only be a temporary hiatus on taking new Medicaid patients. Not too long from now, Zero and 0bamunists will simply decree that doctors will be prohibited from denying treatment, and all will be fine in the Progressive Utopia. You’ll be able to go to any doctor you choose.

Still mulling whether this needs a sarc tag...


12 posted on 06/25/2015 4:16:17 PM PDT by PubliusMM (RKBA; a matter of fact, not opinion. 01-20-2017; I pray we make it that long.)
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To: boop
"Nope the next step is to make compulsory the participation and acceptance of all Medicaid patients as a requirement for retaining state licensure"

But they CAN move their office practices to locations where Medicaid patients will find it difficult to travel. There is more than one way to skin a gov't bureaucrat -- and the health professions have been out-thinking the gov't bureaucrats for decades now.

13 posted on 06/25/2015 5:33:09 PM PDT by Sooth2222 ("In a democracy people get the leaders they deserve." - Joseph de Maistre, 1753-1821)
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To: Sooth2222

“... the health professions have been out-thinking the gov’t bureaucrats for decades now.”

It’s not like that’s a hard thing to do!


14 posted on 06/25/2015 6:41:49 PM PDT by Cincinnatus.45-70 (What do DemocRats enjoy more than a truckload of dead babies? Unloading them with a pitchfork!)
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To: boop

There are precious few doctors right now that take new Medicaid patients.”

UBH, the mental health part of UHC, negotiated a contract with the State of Texas that pays mental health providers a whole lot more than the same procedures pay for standard medicaid. Providers who accept these patients make out like a bandit. Has to cost the state of Texas a LOT of money, particularly since we’re full to the gills with illegal Mexicans who have this type of Medicaid coverage.


15 posted on 06/25/2015 8:18:49 PM PDT by Grams A (The Sun will rise in the East in the morning and God is still on his throne.)
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