So like me, you pay into Medicare for 40+ years, only to find once enrolled that an increasing number of physicians have “opted out” of Medicare. And more and more often Medicare beneficiaries are finding that their long time physicians don’t accept Medicare and either have to switch doctors or pay their trusted doctors out-of-pocket.
Speaking at the release of President Trump’s first budget, Mick Mulvaney, the White House budget director, said: “We’re going to measure compassion and success by the number of people we help get off of those programs and get back in charge of their own lives. We’re not going to measure our success by how much
As a former hospital CEO, with many colleagues at nearby hospitals, I had quick access to the best medical care. Now, as a Medicare enrollee, I am finding it more and more difficult and time-consuming to find doctors who will take Medicare. And, of course, I don’t want to sacrifice quality for price. When a
You may have wondered how Obamacare pays for medical care for the 20 million+ newly insured. If you don’t understand the incentives and disincentives to hospitals and physicians and get caught in the regulatory quagmire, then you will be the payor! Using Medicare, here’s an example of how three related concepts determine whether or not
Let’s start off by making it clear that most adverse clinical outcome are not medical errors. OK? Now…. Back about twenty years ago during my tenure as President and CEO of Jersey City Medical Center, insurers when reviewing a claim for hospital reimbursement, would “deny” days. More specifically the hospital got a per diem payment