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medicare patients...bringing this to the top


Posted: Jan 6, 2010

In response to a post well below this.....

http://www.boston.com/bostonglobe/editorial_opinion/oped/articles/2010/01/06/medicare_and_the_mayo_clinic/

Yes, fact is many places are not accepting Medicare patients and it will get worse. This is an opinion piece, but one cannot argue the FACT that Mayo Glendale has stopped accepting Medicare patients as have many other facilities and that the number will continue to grow with the passage of the reform. What will happen to our country's seniors?  Maybe reform should address this issue instead of dismissing these valuable members of society.  

;

seniors... - cj

[ In Reply To ..]
That is particularly interesting given that Arizona is a retirement state and has many retired persons who depend on Medicare. I kind of wonder if that is why Mayo started this at that particular clinic.

Hm-m-m That's odd considering the article I just read - Backwards Typist

[ In Reply To ..]

There are 2 pages to this article.


Health bills would shift Medicare money to Mayo and other 'high-value' hospitals
 
By Alec MacGillis
Washington Post Staff Writer
Wednesday, January 6, 2010


As House and Senate lawmakers start to reconcile their health-care bills with an eye to final passage, a little-noticed provision is already prompting celebration from a small group of influential hospitals that stand to gain millions in Medicare dollars.


Democrats begin their last talks on health-care reform Health bills would shift Medicare money to 'high-value' hospitals. Language in both the House and Senate bills would reward hospitals for efficiency in their Medicare spending, a dramatic change in the formula for parceling out the public dollars, which can account for as much as half of a hospital's budget. That could prove to be a windfall for some hospitals but a significant loss of funding for others, mostly those in big cities and the South.


A revised Medicare formula represents a major lobbying victory for a coalition of hospitals based in the upper Midwest, led by the Mayo Clinic. Their leaders sent a letter to House members in July demanding Medicare reform, as well as objecting to a government-run insurance plan, or "public option." Even the smallest in the group mobilized lobbyists and sent their leaders to Capitol Hill to press their case.


Mayo leaders met with White House officials several times in recent months, convincing them that "paying for value" was key to slowing the growth in health-care costs. Throughout, President Obama has praised Mayo and "high-value" care.


"We are extremely pleased," said Karl Ulrich, president of the Marshfield Clinic in Wisconsin, a member of the coalition. He predicted a period of transition "that will be difficult for other providers to adapt to" but added: "We just think it's the way to go."


But those on the losing end are criticizing the provision as a brazen money grab. They predict that, instead of saving taxpayer money, it will simply take funding from areas with more poverty and racial minorities and send it to more homogenous communities that tend to have fewer health problems.


"The people in Minnesota are just going to say, 'We want our money,' " said J. Thomas Rosenthal, chief medical officer of the UCLA Medical System. "It's just 'Give us your money. You people are wasteful and we're not, and we deserve it.' "


Regional differences


Medicare payment rates are based on a mix of factors, including regional differences in the cost of living. Doctors and hospitals across the country have argued that the system underpays them for their services, but those in the Midwest, Mountain West and Northwest have been particularly aggrieved.


Hospitals in those regions perform well in oft-cited rankings by Dartmouth College researchers, which measure per-patient Medicare spending. And many of those hospitals also rank high in the quality of their care, suggesting it is possible to restrain the volume of medical procedures without affecting care.


Meanwhile, Dartmouth's surveys find that hospitals in some areas -- led by Miami, Los Angeles, New York City, and much of Texas and the South -- spend far more per Medicare patient than hospitals elsewhere.


More here:


http://www.washingtonpost.com/wp-dyn/content/article/2010/01/05/AR2010010503572.html?hpid=mostpopular_email&sid=ST2010010504137

not all that odd - dnh

[ In Reply To ..]
the Washington post article deal with Medicare spending; the globe article deals with medicare reimbursement. Apples & oranges. Plus you cut off your article at this very relevant point.

"Hospitals now have little incentive to be parsimonious, because Medicare revenue is based on the number of procedures performed at a facility. But supporters say a value index -- by rewarding hospitals that spend less per patient -- would provide an incentive to limit procedures."

It was a 2-page article, so I cut it off because the post would - Backwards Typist

[ In Reply To ..]
have been too long here. I did post the link so you could go to the 2nd page.
I didn't say that well. I am sorry - dnh
[ In Reply To ..]
I do realize it was getting long. didn't mean to imply anything , but on going back, it sure looks like I did. I simply wanted to say that this point should also be considered.
No need to apologize. You are correct that that point should be considered. - Backwards Typist
[ In Reply To ..]
All points of health care should be gone over with a fine tooth comb. Too much "he said, she said" crap. We need to see it in black and white PLUS on CSpan LIVE. Then the decision can be made by all of us if it is a good plan or not.

I am confused. - TXMT

[ In Reply To ..]
Could you please explain the difference between Medicare reiumbursements and Medicare payments? Some of the articles I read about this seem to use those terms interchangably.
explanation - dnh
[ In Reply To ..]
Actually what I had said was one article was medicare spending and one medicare reimbursement. Medicare spending is what it costs the facility to care for the patient, while reimbursement is obviously what they get paid. so if it costs them 50K to care for the patient but their reimbursement is only 25K, then that facility just lost 25K simply for caring for this patient. The article says they will be rewarded for spending less on Medicare patients. How do you spend less on the patient? Provide less service. And for this, they will be rewarded. HUH?

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