Wednesday, September 27, 2006

Medicare, RVUs and steakhouses

Another example showing the ridiculousness of the Medicare RVU system:
And even worse, the insurance companies use the Medicare RVUs to set their rates, so everyone is socialized. If the government told all restaurants that they could only charge $10 for a steak dinner, whether they were Golden Corral or Smith and Wollensky's, what do you think would happen to the quality of the dining experience? Is that really what we want our country to be like?


Comments:
The problem with the analogy is multifold. Here is one aspect. If I didn't like the steak sold at establishment A, I could easily go one of thousands others in my local community. When it comes to the "rump roast" of medical providers the supply side restrictions have really limited any reasonable ability for the consumer to have a similar choice.
 
What are you talking about? NPS and PAs are there for the taking if you dont like doctors.

Your constant mantra of "supply side restriction" is a joke.

NPs have authority to do anything a family practice or IM doc can do without any supervision.
 
'Your constant mantra of "supply side restriction" is a joke.'

Perhaps you personally find some humor in it. The reality of the situation is far from humerous. I can see that the indoctrination process starts relatively early in the clinical training of new providers.
 
Crim give me your location and I'll be happy to find several NPs living in your area that you can see at your convenience.
 
The government should set up a fee schedule for malpractice attorneys.

99201-99203 Settled cases, attorney gets $500, $750, or $1000 depending on complexity of the case

99204 Case goes to trial, patient lived: attorney gets $2000

99205 Case goes to trial, patient died: attorney gets $5000

No more contingency fees, no more percentages. Sorry.
 
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