Medicare and Physician Reimbursement

When physicians apply to become a “provider” for insurances (that is, are accepted into the provider network, something required before receiving payments for services to patients), part of that contractual arrangement forces the physician to accept a deeply discounted price for the services provided.  For example, Medicare will reimburse a physician $60 for an office…

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Perspective Outside the Box

The tension between the practice of science and art has been with us for a long time, but with every new technological advance, the tension ratchets tighter and anyone with an active imagination can see the piano wire is pulled so tight there is no longer any coil left. Art has simply been morphed into…

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Medicare “fraud” that isn’t…

The media is full of Medicare fraud this and Medicare fraud that, but there is little attempt to put anything in context, creating an exceedingly poisonous atmosphere for physicians. I’ve posted before on the kinds of elements taken out of context that can easily be labeled as errors by the checklist mentality. To further complicate…

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Demonizing Physicians

The disturbing tendency to try to blame all the problems in health care on physicians seems to be escalating, which shouldn’t be surprising considering the tenor of the recent elections.  The sound-bite mentality supports little else but scapegoating. John Mandrola, MD, in “The Growing Culture of Hostile Dependency towards Doctors” does a good job of…

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Penalizing Hospitals for Readmissions

I’ve posted to this blog often about the difficulty in measuring quality in health care: RACS and Quality of Care, Novice to Expert, Computers and Language Translation, to name just a few. So it’s really nice to see another blogger dealing with the same issues. A surgeon blogging under the name Skeptical Scalpel, MD, has…

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