Posts Tagged ‘Healthcare reform’

Shortage of Primary Care Physicians in Massachusetts

Wednesday, March 17th, 2010

Today’s Wall St Journal has an editorial entitled, “The Failure of RomneyCare”.  It contains some fascinating statistics about , the average physician availability in the Bay State.  In fact, the Massachusetts Medical Society refers to the situation as a “critical shortage” of primary care physicians.  “56% of Massachusetts internal medicine physicians no longer are accepting new patients according to a 2009 physician work-force study conducted by the Massachusetts Medical Society.  For new patients who do get an appointment with a primary-care doctor, the waiting time is 44 days… ”

Dr. Sandra Schneider, the vice president of the American College of Emergency Physicians, told the Boston Globe last April,  “Just because you have insurance doesn’t mean there’s a physician who can see you.”

Once again the issues are pretty clear.  Our ongoing medical issues are centered on access and cost containment.

Primary Care Physicians Cut Back Hours

Wednesday, February 24th, 2010

You need to read this.  Keep in mind that if healthcare passes, it does not create more doctors.  It does not automatically give people access to medical professionals.  It does give them the means to pay for it, if they can find it.  Unfortunately, the shortage of doctors grows.

http://www.msnbc.msn.com/id/35545561/ns/health-health_care/from/ET

What is Capitation?

Friday, February 19th, 2010

In U.S. health services, capitation refers to a fixed “per capita” amount that is paid to a hospital, clinic or doctor for each person served.  It is the basis for the Health Maintenance Organization (HMO).  You collect a flat fee to cover a certain number of lives and you hope that you have collected enough to do the job.  In fact, you hope you have collected enough to do the job and still have some left over for profit.  I will try to tie all of these health models together in a future blog.

Preexisting Conditions II.

Friday, February 19th, 2010

Today’s Wall St Journal has a follow up article to the WellPoint attack.  It gives an example of what happens when you prohibit insurers from denying coverage due to preexisting conditions.  The state of Michigan has a 1980 law on the books requiring nonprofit insurers to accept all applicants.  Last year, Blue Cross Blue Shield of Michigan lost $280 million prompting them to ask for a 56% rate increase.  Gee, who could have seen that coming???