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Politics : A US National Health Care System?
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To: Lane3 who wrote (3778)1/11/2008 11:24:24 PM
From: Peter Dierks   of 42652
 
Sécurité Sociale has created a standardized and speedy system for physician billing and patient reimbursement...

"Our Medicare has done that, as well."

The standardized part is true. The doctors I know say the speedy part is not so true. Medicare is known for having unforgiving systems that often do not yield prompt payment. Apparently if a claim is not submitted correctly the first time (correctly according to arcane rules) it is permanently denied, so one of the big cost savings is from not paying what is owed. Also most doctors find the reimbursement amounts have not increased in decades and that they are grossly insufficient for all but the most industrially efficient providers. This has the effect of forcing small practices to chose to lose money on providing care or decline to accept the business.

I have been told repeatedly what happens is that if Medicare patients have an established relationship their doctor continues to provide care at a loss. Doctors only permit a small percentage of their business to be Medicare patients. Patients who need to find a new doctor find it difficult to find one that is accepting new Medicare patients. Those that do are generally new to their practices.

Do we want to increase the scope of this problem?
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