Monday, April 30, 2007
Declining reimbursements and you
How inappropriate reimbursement is affecting Vermont:For years, Medicaid's rates haven't covered the cost of the care (not the prices, but the actual cost of providing care) provided to Vermont's Medicaid beneficiaries. Recently, Medicaid rates to most providers have been cut dramatically or have not included even inflationary increases.
The consequences of these chronic underpayments are being seen today -- higher premium prices, not enough doctors and dentists, and access problems for nursing home care. When Medicaid underpays physicians and dentists, the ultimate consequence is that they leave the state or close their practice to Medicaid beneficiaries because they can't afford to build a practice based on Medicaid patients at current payment rates. Underpayments also cause nursing homes to close or stop taking Medicaid patients, like Genesis nursing home did when they closed in Morrisville three months ago.
Comments:
Kevin, could I make a request that you identify your source material as opinion piece when it is labelled that way in the original. It will save me the time of clicking through. Your current practice seems misleading to me.
Well gee whiz willikers, what will we think of to complain about next!
Spend your not at all free time giving people a free service and they still whine about it. It reminds of why I don't work in public health systems anymore--the less people pay, the more they gripe.
Spend your not at all free time giving people a free service and they still whine about it. It reminds of why I don't work in public health systems anymore--the less people pay, the more they gripe.
Kevin basically is a consumate BS artist and this blog is his medium (media?). I spend my time here because it amuses and enrages me the extent to which he goes to decieve himself and others. So yes, I am asking for some additional service so that I won't waste his time or my time evaluating pure opinion pieces.
Why would he want to help you manage your time? If your time is so tight, what the hell are you doing reading blogs??? Value for service is what the world runs on, you ask for a service, now what value do you offer?
Reminds me again of why I only treat cash paying patients--it is because people who are willing to give value for what they get and expect nothing for free are the best people in the world. I give some of them deep discounts, but I never never discount for third parties.
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Reminds me again of why I only treat cash paying patients--it is because people who are willing to give value for what they get and expect nothing for free are the best people in the world. I give some of them deep discounts, but I never never discount for third parties.










