Friday, February 24, 2012
the chickens come home to roost
Really this is just a racket. You can take a simple virus and run up hundreds, if not thousands of dollars, increasing the level of care and therefore, the level of reimbursement to the doctor. This is how ER docs make a lot of money these days.
In Washington state, the state government has decided they will no longer pay for medically unnecessary ER visits for medicaid patients starting April 1st. Of course, ER docs are very unhappy about this because the gig is up. They will no longer be reimbursed for all this unnecessary shit. THey will tell you that this is about control of thier practice, EMTALA etc., but its all bullshit. Their unhappiness is about the bottom line: MONEY. These people are a significant part of every ER's business. They will no longer be able to upcode and get more money.
So whats an unhappy ER doc to do? Take that cough (see Whitecoat)and make it pneumonia. Take that upset stomach and make it an ulcer. In other words, take this stupidity to a higher level to justify even more unnecessary tests and care. Coming to you ER soon.
And whats an unhappy medicaid patient to do when they can't use the ER as their clinic? It won't be long til every person with a cold has chest pain or shortness of breath. Every stomachache is having black stools. They will play the system even more than they do now.
In the end, it will probably cost more money. It will be abandanoned. Here's the thing, these politicians still think they can fix a collapsing system with bandaids. Its just another nail in the coffin of American health care as we know it.
Posted by girlvet at 11:40 PM