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Politics : A US National Health Care System?
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To: Lane3 who wrote (16504)4/9/2010 9:36:12 PM
From: skinowski  Read Replies (1) of 42652
 
When a physician or practitioner opts out of Medicare, no services provided by that individual are covered by Medicare and no Medicare payment can be made to that physician or practitioner directly or on a capitated basis. Additionally, no Medicare payment may be made to a beneficiary for items or services provided directly by a physician/practitioner who has "opted out" of the program. Under the statute, the physician or practitioner cannot choose to opt out of Medicare for some Medicare beneficiaries but not others; or for some services but not others.

aapsonline.org

It seems that with private contracting the doctor must be either in - or out. Can't do consults under Medicare, and run the office practice outside the system. I believe that concierge arrangements are not the same as private contracting.

Remember reading a study of concierge arrangements done by Medicare some years ago. It seems that they had doubts about it, but decided not to interfere - because the total volume of such arrangements was negligible at that time. Looks like that is changing, and HCFA will have to make a policy decision... which will have important implications, whichever way they'll decide to go.
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