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Admitting Clinical Errors Not Always Best Policy

(MedPage Today) -- Wide-scale disclosure of clinical errors seems intuitively to be the ethical choice for hospitals and physicians, but researchers from the University of Washington suggest that disclosure should be decided on a case-by-case basis rather than a one-size-fits-all solution

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Impact of Medicare Physician Payment on Seniors

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You may be thinking that June gloom is an expression to describe the weather in otherwise sunny Southern California. However, in the not-so-sunny world of Medicare it might be used to describe how Medicare physicians are feeling since Congress has once again averted a 21% pay cut to physicians by implementing a six-month fix.

 

Even though the Senate finally passed a bill rescinding the 21% cut and adding a 2.2% increase for Medicare payments, the action came too late to stop the first reduced Medicare payments to doctors from the scheduled 21.3% cut that went into effect June 1. Plus now the bill has to go back to the House for final approval.

 

“What this does,” says Alan Weinstock, an insurance broker at www.MedicareSupplementPlans.com, “is put a temporary hold on physician payments.”  In this case there was both a temporary hold, and then a reduced payment.

 

Physicians React to the Medicare Cut

 

While there has not been the threatened mass exodus of physicians opting out of Medicare, many are making some changes.

 

A May online survey of more than 9,000 physicians conducted by the American Medical Association (AMA) found that about 17% of all physicians who accept Medicare patients are restricting the number of Medicare beneficiaries they see. More than 30% of respondents who were identified as primary care physicians said they limit their Medicare patient load. For both sets of physicians, the top two reasons they cited were that Medicare rates were too low and that the constant threat of cuts made Medicare an unreliable payer.

 

Medicare Beneficiaries are Impacted by the Medicare Cut, Too

 

This ping-ponging between cutting and raising physician Medicare payments can make for uncertainty for seniors. The AMA likened it to playing Russian roulette with seniors’ health care.

 

In fact, a December 2007 Medicare Payment Advisory Commission reported that:

 

30% of Medicare patients indicated trouble in finding a new primary care physician;

25% indicated trouble getting timely appointments for preventive care and chronic conditions;

Nearly 20% indicated trouble getting timely appointments for illness or injury.

 

And this information is nearly three years old. “So, of course, the concern is that things aren’t getting any better for seniors,” notes Alan, “especially those who are just nearing the age of 65 and looking to sign up for Medicare for the first time.”

 

That is why it is important for those new to Medicare to begin the process early. There is a seven-month period in which to sign up for Medicare. It spans from three months before the month in which you turn 65 to three months after the month in which you turn 65.

 

And for current or soon-to-be Medicare patients who are looking for the best place to shop and compare Medicare supplement insurance plans, it is easy to get all the information they need just by visiting http://www.MedicareSupplementPlans.com.

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Victor Ben is a expert writer who has years of experience in writing article, technical reviews regarding Medicare Insurance, Medigap Insurance California and Best Medicare Supplemental Insurance Plans.

Cough, Wheezing Raise Risk in Kids’ Anesthesia (CME/CE)

(MedPage Today) -- Children with a dry cough at night or wheezing during exercise are at elevated risk of respiratory adverse events during and after general anesthesia, researchers reported.

Finding a New Doctor Becoming More Difficult for Medicare

For some Medicare recipients, the search for a new primary care physician has become more difficult, according to a 2008 survey conducted by the Medicare Payment Advisory Commission (MedPAC). Compounding this trend is an estimate from the Physicians (ACP) that there won’t be enough internists to go around by 2025. The ACP also indicates that current internists are becoming less willing to accept new Medicare patients. According to Alan Weinstock, an insurance agent at www.MedicareSupplementPlans.com, many physicians are opting out of Medicare due to low reimbursement rates and too much paperwork. With all these trends converging at once, Weinstock believes Medicare recipients need to shop early to find the best doctor—before they turn 65.

“The impact on seniors of physicians opting out of the Medicare program hasn’t been a serious problem yet,” said Weinstock. “But if large numbers of physicians join the group that is opting out, it may be difficult for seniors to have access to affordable health care.”

This is why it is important for the 40 million Americans who have Medicare insurance to start early in their hunt for a physician who has not opted out of Medicare. It is equally important that seniors take the time to determine the best Medicare supplement insurance coverage, since Medicare often does not cover all health care costs.

Robert Dowell of , understands full well the need to have someone knowledgeable when searching for the best Medicare supplement plan. “It’s traumatic turning 65 and entering an unknown area of new healthcare. So many questions…wondering if you asked the correct ones and were given all the correct facts.” But Dowell found all the answers he needed at www.MedicareSupplementPlans.com and says that now he “has a clear path on how to control my health needs.”

For some Medicare recipients, the search for a new primary care physician has become more difficult, according to a 2008 survey conducted by the Medicare Payment Advisory Commission (MedPAC). Compounding this trend is an estimate from the Physicians (ACP) that there won’t be enough internists to go around by 2025. The ACP also indicates that current internists are becoming less willing to accept new Medicare patients. According to Alan Weinstock, an insurance agent at www.MedicareSupplementPlans.com, many physicians are opting out of Medicare due to low reimbursement rates and too much paperwork. With all these trends converging at once, Weinstock believes Medicare recipients need to shop early to find the best doctor—before they turn 65.

“The impact on seniors of physicians opting out of the Medicare program hasn’t been a serious problem yet,” said Weinstock. “But if large numbers of physicians join the group that is opting out, it may be difficult for seniors to have access to affordable health care.”

This is why it is important for the 40 million Americans who have Medicare insurance to start early in their hunt for a physician who has not opted out of Medicare. It is equally important that seniors take the time to determine the best Medicare supplement insurance coverage, since Medicare often does not cover all health care costs.

Robert Dowell of , understands full well the need to have someone knowledgeable when searching for the best Medicare supplement plan. “It’s traumatic turning 65 and entering an unknown area of new healthcare. So many questions…wondering if you asked the correct ones and were given all the correct facts.” But Dowell found all the answers he needed at www.MedicareSupplementPlans.com and says that now he “has a clear path on how to control my health needs.”

Bisphosphonates Tied to Esophageal Cancer (CME/CE)

(MedPage Today) -- A second look at British registry data indicates that esophageal cancer may be more common after all in patients taking oral bisphosphonate drugs for long periods.

Age No Barrier to Oral Anticoagulants (CME/CE)

(MedPage Today) -- Age alone shouldn't deter appropriate oral anticoagulant use in elderly atrial fibrillation patients, according to a review.

Best Democrats’ Debate Yet -Clearest, Quickest Answers-Pt J


**READ HERE** If you want to discuss this debate, go to the blogs that have linked to the video (see underneath the video for links). 9/26/07 Democrats Debate, Part J. Tim Russert moderates. In this clip, Tim Russert asks Joe Biden, Hillary Clinton Barack Obama Chris Dodd and Bill Richardson about social security and medicare.

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Growth of Employer Plans Forseen With Health Reform

WASHINGTON (MedPage Today) -- Employer-sponsored insurance will not only remain a cornerstone of the American healthcare system, but it will increase in prevalence in the post-healthcare reform environment, according to several researchers.
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