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To: ebersole
In my experience, a policy that is an HMO or PSO require referrals. A policy that is a PPO does not. I suppose those designations will disappear.

My greater concern is this: If I can find a physician who opts out of the system,, as this woman does, I will. But I want to keep the government's prying eyes off of my medical records. I suppose I can get that reassurance from such a doctor, especially if I do not carry insurance (I plan not to comply), but that won't be the case for an MRI, Radiology, etc., where records will be kept and sent to the government.

38 posted on 03/24/2010 7:03:22 PM PDT by MrChips (MrChips)
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To: MrChips

“MRI, Radiology, etc., where records will be kept and sent to the government.”
What I’ve read so far of the bill, you are correct.
Currently, you enter into a hospital and designate how you are going to pay (insurance information or self-pay, etc.), that information will go into their electronic system. The hospitals I’ve worked in do not have the option to exclude you or your information from their system because they are in receipt of government funds in the form of CMS patients and thus because the government already essentially controls the functioning of the hospitals that accept their patients, they also control many if not all of the regulations within a hospital. The hospitals can refuse to comply (won’t happen) with CMS regulations but they will be “decertified” and will not be paid for CMS patients. CMS patients account for a significant amount of revenue for many hospitals.
Hospitals do have programs in which your name can be changed so nosy prying eyes can’t identify you (in the cases of extreme wealth, notoriety, fame, high profile case etc. or a victim of a crime or suspected victim), but the real id is always known on the backside.


42 posted on 03/24/2010 7:13:32 PM PDT by ebersole
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