tag:blogger.com,1999:blog-18943510.post8027423069627901677..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: When States Tie Conditions of Licensure to Insurance PaymentsDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger36125tag:blogger.com,1999:blog-18943510.post-22756182119932789142010-04-19T16:28:22.905-05:002010-04-19T16:28:22.905-05:00Anyonymous 05:54:
The reimbursement rates of priv...Anyonymous 05:54:<br /><br />The reimbursement rates of private insurance companies do not mirror Medicare rates, they only follow the highering and lowering rate trends.Jodihttps://www.blogger.com/profile/02317972207150149720noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-31008963926643579072010-04-18T05:54:57.694-05:002010-04-18T05:54:57.694-05:00"Dr Smith. You're right Mr Jones. I do ha..."Dr Smith. You're right Mr Jones. I do have to accept you. However, my next available Medicare slot is January 24th, 2013 at 6:30 am. Would you like me to schedule you today? And I can't guarantee to you that I will be in town that day, and you might get rescheduled."<br /><br />Who are you seeing in the meantime? Don't private insurers base their reimbursements off Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-38280839299339511002010-04-17T14:59:57.202-05:002010-04-17T14:59:57.202-05:00Will all carriers be required to offer "Affor...Will all carriers be required to offer "Affordable Health Plans"?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-82277718903081309972010-04-17T09:13:22.412-05:002010-04-17T09:13:22.412-05:00There are few places in Massachusetts that aren...There are few places in Massachusetts that aren't within an hour of another state.<br /><br />It sounds to me like NH, VT, RI, CT, possibly ME and NY stand to gain doctors from this nonsense.<br /><br />They can still provide care to MA residents, it's just the residents will have to do a little driving first.<br /><br />Maybe I can find a way to run a profitable medical bussing service..Mikehttps://www.blogger.com/profile/00276488837797750678noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-41239724633804025212010-04-17T04:38:54.587-05:002010-04-17T04:38:54.587-05:00Hi everyone.
Generally good comments, but there a...Hi everyone.<br /><br />Generally good comments, but there are a series of errors.<br /><br />1. There is an international market for physicians. For example, the US State Psychiatric Hospitals are competing with the Canadian, Australian, Irish, British and NZ services. Physicians balance pay with quality of their life and hassles in practice. As most medical systems do not produce adequate Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-61555021361527919202010-04-17T00:25:24.420-05:002010-04-17T00:25:24.420-05:00Yes. The entire point of the bill is to force any ...Yes. The entire point of the bill is to force any doctor accepting any insurance in MA to also accept this plan.<br /><br />The author of the bill stated somewhere or other that insurance companies and hospitals have to take a hit so it's time for doctors to bend over too. They are well aware that nobody would otherwise sign up to take the plan.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-70391688632331321652010-04-16T21:56:40.464-05:002010-04-16T21:56:40.464-05:00I did read the link, I was just confused by the la...I did read the link, I was just confused by the language: "...licensed in the commonwealth WHICH provides covered services to a person covered under "Affordable Health Plans" MUST provide such service to any such<br />person, as a condition of their licensure, and must accept payment at the lowest of the statutory<br />reimbursement rate"--it sounds as though providers Toddnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-23617579252934610982010-04-16T21:16:11.112-05:002010-04-16T21:16:11.112-05:00I did read the link, I was just confused by the la...I did read the link, I was just confused by the language: "...licensed in the commonwealth WHICH provides covered services to a person covered under "Affordable Health Plans" MUST provide such service to any such<br />person, as a condition of their licensure, and must accept payment at the lowest of the statutory<br />reimbursement rate"--it sounds as though providers Toddnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-28695467826791288312010-04-16T20:24:33.089-05:002010-04-16T20:24:33.089-05:00Todd,
Below is link to the actual document. But ...Todd,<br /><br />Below is link to the actual document. But here is the sentence, which does say MUST:<br /><br />"Every health care provider licensed in the commonwealth which provides covered services to a person covered under "Affordable Health Plans" must provide such service to any such person, as a condition of their licensure, and must accept payment at the lowest of the Jodihttps://www.blogger.com/profile/02317972207150149720noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-28455307660796172992010-04-16T17:59:10.988-05:002010-04-16T17:59:10.988-05:00If you'd bothered reading the link you would s...If you'd bothered reading the link you would see: "A provider that participates in a carrier’s network or 33 any health benefit plan may not refuse to participate in the carrier’s network with respect to the 34 “Affordable Health Plan”."<br /><br />If you accept any form of insurance you are required to take this (along with the bogus payment rate). And rest assured if doctors Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-66616021654241435122010-04-16T16:05:16.515-05:002010-04-16T16:05:16.515-05:00It seems providers will still have a choice as to ...It seems providers will still have a choice as to whether or not to participate in a "Affordable Health Plan" related network or plan.toddnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-39521767124000920542010-04-16T15:41:55.059-05:002010-04-16T15:41:55.059-05:00"(a) As a condition of doing business in the ..."(a) As a condition of doing business in the commonwealth, a carrier that offers health benefit plans to<br />eligible small businesses and eligible individuals..."<br /><br />It says, "a carrier that offers" and "which provides", where does it say "MUST" provide services to persons eligible under the "Affordable Health Plan"??toddnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-61050730880331676622010-04-16T15:34:18.285-05:002010-04-16T15:34:18.285-05:00@Anon 10:13
I conclude that most of your readers a...@Anon 10:13<br /><i>I conclude that most of your readers are convinced that licensing is a very fearsome thing and completely eradicates their constitutional rights. I wonder how many of them would bring their sick children to an unlicensed physician. I'd be interested in knowing if you think we should do away with licensing doctors.</i><br /><br />I can't speak for most of Dr. Wes' WarmSockshttps://www.blogger.com/profile/12192702662231361355noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-4910399028416736992010-04-16T13:12:49.701-05:002010-04-16T13:12:49.701-05:00These bills are not enforceable.
Mr Jones. I'...These bills are not enforceable.<br /><br />Mr Jones. I'm a Medicare patient. I need an appointment. You have to accept me. The law says so.<br /><br />Dr Smith. You're right Mr Jones. I do have to accept you. However, my next available Medicare slot is January 24th, 2013 at 6:30 am. Would you like me to schedule you today? And I can't guarantee to you that I will be in town The Happy Hospitalisthttps://www.blogger.com/profile/14392872203166584371noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-90078303349327593282010-04-16T12:37:14.283-05:002010-04-16T12:37:14.283-05:00"Texas revised its malpractice law to cap &qu..."Texas revised its malpractice law to cap "pain & suffering" awards at $250k, and since then more docs have moved into Texas than into any other state. Go figure - insurance rates are lower here now. Amazing how financial incentives actually work in the real world."<br /><br />Actually, that would be incorrect. Texas' physician population is still one of the lowest inAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-88923211252771922412010-04-16T10:46:11.922-05:002010-04-16T10:46:11.922-05:00Fred -
The time to stop foolishness is the moment...Fred - <br />The time to stop foolishness is the moment it rears its ugly head, not a second later; better yet would be instilling in the legislatures of the states the sure knowledge that proposing such foolishness would result in immediate, continuing, and successful calls for the replacement of the foolish legislator who proposes it.<br /><br />Anonymous-<br />Texas revised its malpractice lawMikeenoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-88125490866505989992010-04-16T10:35:57.087-05:002010-04-16T10:35:57.087-05:00Let's spread some of this wrath around (and wo...Let's spread some of this wrath around (and worry less about the US devolving into a communist country). Do you know who backs this bill - The some MA association of Health Plans! Of course they would like to see the docs paid less. Duh! Does anyone else see that there may be some connection between their support for this bill and our beloved capitalism?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-71396193668552631202010-04-16T10:13:58.302-05:002010-04-16T10:13:58.302-05:00I conclude that most of your readers are convinced...I conclude that most of your readers are convinced that licensing is a very fearsome thing and completely eradicates their constitutional rights. I wonder how many of them would bring their sick children to an unlicensed physician. I'd be interested in knowing if you think we should do away with licensing doctors.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-45909933645672217252010-04-16T10:03:52.198-05:002010-04-16T10:03:52.198-05:00Dr. Wes,
Take heart! State legislatures have some...Dr. Wes,<br />Take heart! State legislatures have some very weird folks who dream up some really weird bills. Now that you've gotten this crowd very riled up, please promise to let us know when the bill passes, IF it passes.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-86656106189646264092010-04-16T08:00:24.057-05:002010-04-16T08:00:24.057-05:00Doctors are always threatening to move elsewhere a...Doctors are always threatening to move elsewhere about everything. No one believes them anymore.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-54157165899407794562010-04-16T07:37:11.667-05:002010-04-16T07:37:11.667-05:00Physicians - You and your patients need a replacem...Physicians - You and your patients need a replacement for the AMA. Docs 4 Patient Care is an organization working hard to become that replacement. <br /><br />What began as a grassroots group of physicians working for common-sense health care reform has quickly evolved into a movement to replace the AMA as the representation for America's physicians. They have gained solid recognition in Jodihttps://www.blogger.com/profile/02317972207150149720noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-85646842723193069412010-04-16T04:53:01.115-05:002010-04-16T04:53:01.115-05:00I'm one of those damned fool socialist Euro...I'm one of those damned fool socialist Euro's and even I can see how ridiculous this legislation is.<br /><br />I hope the Mass. media point out which fool attempted this legislation - maybe his health provider could add a bit of a levy to his policy.<br /><br />I would think the smart thing to do would be to see the lie of the land after the Federal legislation has settled, before makingAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-64447616988841004672010-04-15T23:42:39.916-05:002010-04-15T23:42:39.916-05:00I'm so sorry to hear this. I see a future with...I'm so sorry to hear this. I see a future with very few doctors.<br /><br />If medicare does not cover the overhead, why not take a tip from the airline industry and tack on extra fees?<br /><br />The fee that medicare pays would cover time with the doctor - but that's all. To actually <i>get</i> time with the doctor, first the patient would need to purchase a spot on the schedule - WarmSockshttps://www.blogger.com/profile/12192702662231361355noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-32820759046995852662010-04-15T20:52:52.749-05:002010-04-15T20:52:52.749-05:00It is long past time for physicians to grow some c...It is long past time for physicians to grow some cojones and a spine. First, the AMA sold doctors out, cheap. Now doctors are not being paid by Medicare, and the SGR is not fixed, only another 2 week bandaid seems forthcoming. The AMA should be calling for all physicians to immediately stop seeing Medicare patients for all but emergent care. Federal legislation MUST be passed ASAP allowing allAmerican Waynoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-71424358939420831952010-04-15T19:11:49.897-05:002010-04-15T19:11:49.897-05:00Wow... that takes a lot of balls.
Who in the blue...Wow... that takes a lot of balls.<br /><br />Who in the blue f*ck do these legislators think they are?Anonymousnoreply@blogger.com