Comments on: Reinhardt’s modest proposal http://www.medrants.com/archives/4700 Internal medicine, American health care, and especially medical education Sat, 11 Feb 2012 15:15:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: k http://www.medrants.com/archives/4700/comment-page-1#comment-528755 k Tue, 28 Jul 2009 18:48:05 +0000 http://www.medrants.com/?p=4700#comment-528755 Part of the piecework payment problem involves the AMA's cash cow, the CPT coding system for procedures. Physicians who spend time with patients (IM, primary care, peds) and don't do procedures really get ripped off by E&M coding. Part of the piecework payment problem involves the AMA’s cash cow, the CPT coding system for procedures. Physicians who spend time with patients (IM, primary care, peds) and don’t do procedures really get ripped off by E&M coding.

]]> By: AnnR http://www.medrants.com/archives/4700/comment-page-1#comment-528730 AnnR Sat, 25 Jul 2009 10:46:00 +0000 http://www.medrants.com/?p=4700#comment-528730 You're right, he missed that the RBRVS favors different groups of providers and encourages patients to be shuffled off to specialists. But that wasn't really what he was getting at. It sounds to me like he was addressing a more macro-level issue of payment differences between groups. As I took it, and his article was pretty general, Medicare wouldn't pay 70% of the standard charge and some other 100%. Everybody would pay 100% of whatever. Still doesn't address that thinking isn't valued as much as doing. You’re right, he missed that the RBRVS favors different groups of providers and encourages patients to be shuffled off to specialists.

But that wasn’t really what he was getting at. It sounds to me like he was addressing a more macro-level issue of payment differences between groups. As I took it, and his article was pretty general, Medicare wouldn’t pay 70% of the standard charge and some other 100%. Everybody would pay 100% of whatever.

Still doesn’t address that thinking isn’t valued as much as doing.

]]> By: anon http://www.medrants.com/archives/4700/comment-page-1#comment-528729 anon Fri, 24 Jul 2009 23:42:08 +0000 http://www.medrants.com/?p=4700#comment-528729 you still have to schedule time for the visits. it's just that you will get paid more for the time you spend with one, but since you have to cancel someone else's visit to spend more time with the first visit, you wind up budget neutral and with one person really happy and one person really sad instead of two moderately pleased (or displeased) people you still have to schedule time for the visits. it’s just that you will get paid more for the time you spend with one, but since you have to cancel someone else’s visit to spend more time with the first visit, you wind up budget neutral and with one person really happy and one person really sad instead of two moderately pleased (or displeased) people

]]> By: Web Media Daily – July 24, 2009 http://www.medrants.com/archives/4700/comment-page-1#comment-528723 Web Media Daily – July 24, 2009 Fri, 24 Jul 2009 16:43:48 +0000 http://www.medrants.com/?p=4700#comment-528723 [...] Reinhardt’s modest proposal…   DB’s Medical Rants [...] [...] Reinhardt’s modest proposal…   DB’s Medical Rants [...]

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