9 responses to “Manufactured Healthcare Crisis is the Road to Socialism”

  1. avatar

    You have to be stopped. Health reform is patriotic!

  2. avatar

    The hurdles which are set before us is the regulations which Centers for Medicare and Medicaid ( CMS ) has placed in the contracts which we operate under. The Government has the biggest monopoly on price fixing in the country. It would be in the best interest to propose that the Most Favored Nation clause be deleted or modified: changing the contract language for CMS, which would deregulate the cost of healthcare and provide a way for the free market to compete in medicine. It is extremely important that this be applicable only to cash paying patients. There are already in place cash medical discount plans (search gulfcoastdmpo.org for their site), such as Manatee County Rural Health has for Manatee County citizens.

    When we receive cash we don’t have to wait 20, 45 or from some despite Prompt Pay laws in the state of Florida 120+ days for our payment, nor do we have to send out a bill. This would be a huge savings to us the provider and a savings to the patient.

    We currently have our cash prices listed on our website, we can not go any lower. These prices have to be reviewed by an Attorney each year before publishing. As the law stands now, if we provide a cost which goes below the CMS price then we would be punished by having to return the monies retroactively to CMS.

  3. avatar

    Our Government would best serve the health industry by holding the standards high and require medical practices to be accredited by the organizations listed below. This would allow the “cash only” system above to work. For radiology services they should be accredited by the American College of Radiology (ACR). Currently accreditations required to perform Mammography the facility must have FDA and ACR accreditation . For Ultrasound to be accredited by the ACR and by the Intersocietal Commission for the Accreditation for Vascular Laboratories (ICAVL). Currently for hospitals who want to participate in funding from CMS then the hospital needs to have a The Joint Commission accreditation. All facilities should also be required to be accredited by The Joint Commission.

    The above idea is not for hospitalization. Insurance coverage for” hospitalization only” are relatively inexpensive starting at $71 a month in our area of Florida. Pharmaceuticals there are also solutions which are not mention. The above is for the day to day use of health care.

  4. avatar

    We are not having a Health Care crisis, but a Health Insurance Crisis.

    A citizen of this country does not need “Health Insurance” in order to receive healthcare. The word “Uninsured” is a political term our country nor our state can not insure nor afford to pay for the coverage for the cost of healthcare for us as citizens of this great State and Country.

    This once “great” but now “good” health care system became “great” unaided by Health Insurance Companies. There focus is Wall Street, while most doctors focus is the patient. ( prwatch.org/node/8441 )

    The hurdles which are set before us is the regulations which Centers for Medicare and Medicaid ( CMS ) has placed in the contracts which we operate under. The Government has the biggest monopoly on price fixing in the country. It would be in the best interest to propose that the Most Favored Nation clause be deleted or modified: changing the contract language for CMS, which would deregulate the cost of healthcare and provide a way for the free market to compete in medicine. It is extremely important that this be applicable only to cash paying patients. There are already in place cash medical discount plans (search gulfcoastdmpo.org for their site), such as Manatee County Rural Health has for Manatee County citizens.

    When we receive cash we don’t have to wait 20, 45 or from some despite Prompt Pay laws in the state of Florida 120+ days for our payment, nor do we have to send out a bill. This would be a huge savings to us the provider and a savings to the patient.

    We currently have our cash prices listed on our website, we can not go any lower. These prices have to be reviewed by an Attorney each year before publishing. As the law stands now, if we provide a cost which goes below the CMS price then we would be punished by having to return the monies retroactively to CMS.

    We currently have our cash prices listed on our website, we can not go any lower. These prices have to be reviewed by an Attorney each year before publishing. As the law stands now, if we provide a cost which goes below the CMS price then we would be punished by having to return the monies retroactively to CMS.
    Our Government would best serve the health industry by holding the standards high and require medical practices to be accredited by the organizations listed below. This would allow the “cash only” system above to work. For radiology services they should be accredited by the American College of Radiology (ACR). Currently accreditations required to perform Mammography the facility must have FDA and ACR accreditation . For Ultrasound to be accredited by the ACR and by the Intersocietal Commission for the Accreditation for Vascular Laboratories (ICAVL). Currently for hospitals who want to participate in funding from CMS then the hospital needs to have a The Joint Commission accreditation. All facilities should also be required to be accredited by The Joint Commission.

    The above idea is not for hospitalization. Insurance coverage for” hospitalization only” are relatively inexpensive starting at $71 a month in our area of Florida. Pharmaceuticals there are also solutions which are not mention. The above is for the day to day use of health care.

  5. avatar

    • The 2005 Deficit Reduction Act which was instituted Jan. 2007 has severely effected our industry. Internally we have made salary cuts to our Administration, Radiologist, Technologist and Clerical employees at our center and we continue to do so to be able to survive (keep our jobs) the results of the 22% cut in revenue. We can not sustain any further CUTS in imaging specifically the Utilization Rate Assumption (URA) . We have 76 employees not counting the Radiologist, all are women who are the bread winner of the family and in most cases are the only bread winner. Quite a few husbands have lost their jobs. Some are single mothers with children.

    • The proposed increase of the Utilization Rate Assumption (URA) which is currently in the Senate at 90%, is unsustainable to our company. The
    URA has had the following coverage:

    WASHINGTON, July 29 /PRNewswire-USNewswire/ — Patients and leading patient advocates from across the country, in partnership with the American Brain Tumor Association, Black Women’s Health Imperative, Colon Cancer Alliance, Lung Cancer Alliance and Society for Women’s Health Research gathered today at the U.S. Capitol to call on Congress to reject proposed deep and arbitrary reimbursement cuts to imaging services that would devastate patient access to life-saving diagnostics, particularly in rural communities throughout America.

    These groups convened to officially submit a letter from thirteen leading patient advocacy groups to the Senate Finance and House Tri-Committees urging Members to adopt legislation that preserves access to diagnostic imaging.

    The letter says that any “proposal to increase the utilization assumption for certain imaging equipment including CTs and MRIs will result in additional draconian cuts for imaging services. These additional cuts would come at a time when the GAO and other Medicare claims analyses have found that the deep cuts imposed by the Deficit Reduction Act have already significantly reduced Medicare spending on imaging (one analysis revealed that spending on advanced imaging is down 19.2%) and dramatically slowed the growth of advanced imaging services (the same study showed that the volume of these services has grown only 1.9% in the last year). Further cuts will undoubtedly reduce seniors’ access to these imaging services that are so important for detection, diagnosis and treatment.”
    • Self referral: there are many studies available for the documentation of the over utilization of imaging in our medical industry (contact Josh Cooper of American College of Radiology (ACR) see contact information below). If a family practitioner, a cardiologists, an orthopedic surgeon, or a chiropractic physician, has a piece of imaging equipment in their office then they will use it much more than if they sent the patient out of their office for imaging. You will see over utilization up to seven times more than necessary, than referred to an ACR accredited facility.
    • The Radiologist is the best utilization tool in the imaging industry. They are trained to use ACR standards which are already in place called “appropriateness criteria”. These standards are in place to help the referring physician to order the appropriate test with the appropriate imaging equipment for an ailment which the patient is describing to the referring physician.
    • Regulating Radiology to the utmost standards which will require companies wanting to provide imaging to fall under strict regulations just like mammography then you would have fewer people in our industry just for the money.

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