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Bush vetos Medicare bill

Several sources indicate Pres Bush is going to veto the Medicare bill (that rescinded physician reimbursement cuts and phased out Medicare Advantage subsidies). The veto may happen today. Oops, he just did. The Senate and House are likely to vote … Continue reading Bush vetos Medicare bill

What the Medicare vote means to you

Yesterday’s 69-30 Senate vote to reduce the subsidies for Medicare Advantage and Private fee for service plans and rescind the cut in physician reimbursement will have far reaching implications. I watched the historic vote while sitting in a bar in … Continue reading What the Medicare vote means to you

DRGs, Medicare, hospitals, and workers comp

Last Thursday’s post showed that workers comp is a huge money maker for hospitals, generating about 16% of their profits on less than 2% of revenue. The attempts to date to control hospital costs have been to set WC reimbursement … Continue reading DRGs, Medicare, hospitals, and workers comp

Health plans feeding at the Medicare trough

Bob Laszewski has a great post today debunking the myth of Medicare Advantage and Medicare private fee for service. Both were supposed to help reduce Medicare’s costs via a short-term subsidy enabling private insurers to get into the market, figure … Continue reading Health plans feeding at the Medicare trough

Medicare is to Workers Comp as Yin is to Yang

Why do regulators base WC reimbursement on Medicare? It’s easy, simple, and already familiar to legislators and regulators alike. It is also a big mistake. Medicare is a program for America’s elderly – over-65, mostly sedentary, and mostly not employed. … Continue reading Medicare is to Workers Comp as Yin is to Yang

Florida hospital reimbursement – Mayday Mayday Mayday

There’s big trouble brewing in Florida – trouble in the form of a seemingly-innocuous workers comp fee schedule change that would increase medical expense by almost 20%. Yes, twenty percent. We’ll delve into the details in future posts. First, I’m … Continue reading Florida hospital reimbursement – Mayday Mayday Mayday

Medicare sneezes

The adage goes something like – when the US sneezes, the world catches a cold, signifying just how much influence this country has on the rest of the world. That’s analogous to Medicare’s impact on the health care sector. And … Continue reading Medicare sneezes

Medicare games

The annual Medicare physician price cut season is on us. Next year’s reduction will average 5%, although payments for office visits (evaluation and management codes) will increase by up to 30%, but reimbursement for other procedures will be slashed up … Continue reading Medicare games

Medicaid down, Medicare up

The latest budget projections have federal spending on Medicaid programs dropping below projections, while Medicare is suffering from the reverse. It appears that the shifting of reimbursement for drugs from Medicaid to Medicare is at least partially responsible for the … Continue reading Medicaid down, Medicare up

Medicare to pay docs more if…

Medicare says they will compensate doctors for underpaying them if Congress succesfully rescinds the cuts in reimbursement that went into effect the first of this year. CMS says they will simply figure out how much docs should have been paid … Continue reading Medicare to pay docs more if…

Search Results for: medicare reimbursement

Bush vetos Medicare bill

What the Medicare vote means to you

DRGs, Medicare, hospitals, and workers comp

Health plans feeding at the Medicare trough

Medicare is to Workers Comp as Yin is to Yang

Florida hospital reimbursement – Mayday Mayday Mayday

Medicare sneezes

Medicare games

Medicaid down, Medicare up

Medicare to pay docs more if…

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