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Politics : A US National Health Care System?

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To: J_F_Shepard who wrote (36273)4/28/2014 10:59:24 PM
From: gamesmistress2 Recommendations

Recommended By
Brumar89
i-node

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what part of "losing money with every Medicaid patient" don't you understand? Earning money (I.e. $25/ visit)is not the same as making a profit or even breaking even if it costs you $35 / visit in expenses. The difference has to be made up in charges to non-Medicaid patients, not more Medicaid patients.

Apparently PCPs who treat Medicaid pts were supposed to get a "raise" to the level of Medicare last year. Don't know how that worked out.

Under the health law, a primary care doctor – a family physician, a pediatrician or an internist – who treats a Medicaid patient will see their reimbursement rise to the level of the Medicare health insurance program for the elderly for scores of primary care services. Doctors do have to apply to their state Medicaid programs and meet certain criteria in part proving that they have historically treated certain numbers of Medicaid patients.

Though the pay increase will vary because Medicaid rates differ from state to state, the average pay increase will be about 73 percent given Medicare last year paid on average 66 percent of what Medicare pays for certain primary care services, according to a Henry J. Kaiser Family Foundation study. Doctors in some states could see payment increases of 100 percent or more.

The idea behind the pay increase, which is funded by federal dollars for two years, is to get more doctors to accept Medicaid patients and prevent other physicians from dropping out of a government program that hasn’t been well funded. Amid a primary care doctor shortage, eligible patients will need all of the doctors they can get given the health law expands Medicaid coverage to millions more Americans effective Jan. 1, 2014 for participating states.

forbes.com
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