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Strategies & Market Trends : The coming US dollar crisis -- Ignore unavailable to you. Want to Upgrade?

To: Real Man who wrote (16052)	1/5/2009 5:10:48 AM
From: Box-By-The-Riviera™	Read Replies (1) \| Respond to of 71474

three lunatics writing stuff at 3 am. <g> that's some kind of fear, or dedication. i'm not sure which.

To: Real Man who wrote (16052)	1/5/2009 8:21:01 AM
From: Secret_Agent_Man	3 Recommendations Read Replies (4) \| Respond to of 71474

Ok, Vi, as a physician I can tell you reimbursement has NOT gone up to us from insurance companies for the last 8 yrs, sure medicare gave us a raise as did medicaid-In Missouri, medicaid gave us a raise from 21.00/visit to 27 dollars for a simple office(99212) visit that is a BIG raise % wise but 21.00 is what i've been getting since I was in residency over 25yrs ago this is PRIMARY care- Insurance companies have NOT raised reimbursement in the last 15+ yrs- this is reality not media HYPE. For a complex visit(99214) the pay moves up to a whopping-65.00 this is a person with diabetes HTN, CHF and renal disease combined and we are expected to manage this patient right on a daily basis for that amount of money- most of the docs in my small area dont accept medicaid or medicare because of this low reimbursement- I do accept it because they have few place to go besides ER thus the heavy burden ER's see's- I did ER for 12 yrs and 75% was primary care. This "privatization of medicare" whereby an insurance company get's 8k up front for the patients enrollment then they want to pay less than medicare + have the patient pay a 15-20.. copay and still have a 20% copay responsibility after that when if they just kept their regular medicare they would not have a copay but would be responsible for the 20% copay- most docs around here charge about 90.00-120/visit and that is why they wont take 27-65.00 overhead has gone up, malpractice and supplies all have gone up but reimbursement has remained stagnant for decades- dont get me started, this is reality- oh and the latest, they want us all to go to EHR, fine by me but none of the systems are trully compatible universally and the cost is 11-25K which we must pay up front from what source? i really could go on but....you have no idea really- oh one last note doctors dont charge for prescription medications pharmacies do- I dont run a pharmacy out of my office and most other primary docs dont either- I'm board certified in family medicine