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"Docs4PatientCare.org is a politically neutral grassroots coalition of physicians.  Use of any politically partisan terms does not reflect the position of Docs4PatientCare.org.  We do encourage our speakers to express how they feel and we post articles based on their informative content only.  Any politically partisan language used does not reflect the group as a whole.  Specific party or political allegiances and opposition are not our intent.  The goal of D4PC is only to advocate for effective and responsible health care reform."

D4PC "Morning Rounds" for Tuesday, November 29, 2011

Tuesday, November 29, 2011

Welcome to D4PC "Morning Rounds", your daily review of healthcare news and information from Washington, DC and around the nation. These briefings will keep you up to date on recent developments and our effort to replace the PPACA with patient-centered reforms that protect the doctor-patient relationship and preserve individual freedom of choice.



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"Congress Should Stop The Coming Medical Billing Fiasco", The Washington Times

Apparently the federal government hasn't noticed how much turmoil exists in the American healthcare system as a result of their incessant meddling via onerous regulation, "price-fixing" and most recently, the passage of the president's healthcare law. Now, as physicians, hospitals and other healthcare providers are struggling with new rules and dwindling reimbursement, Washington lawmakers are about to unveil a greatly expanded and complex medical billing system that will most likely deliver a fatal financial blow to some independent medical practices and small community hospitals.

"These billing changes epitomize the problems facing our nation's hospitals and physicians trying to navigate a top-down regulatory climate that increasingly forces health care providers to divert more and more scarce resources away from patient care to tend to bureaucratic whims.

To satisfy these mandates, hospitals and physicians will have to devote valuable time, money and energy to learning and implementing this new billing system. This time would be better spent treating sick patients.

These regulations will also likely exacerbate already strict and extensive physician documentation requirements. This will further translate into less time at the bedside with patients.

While compliance with these new regulations will be onerous and frustrating for physicians, ultimately it will be the patients that suffer the most from diminished care.


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"More US Firms Using High Deductible Insurance Plans", The Los Angeles Times

The use of high-deductible insurance plans is position # 3 in the D4PC "Prescription". We are pleased that an increasing number of American employers are offering these plans and are achieving savings and a slower increase in premiums.

"In 2011, 32% of companies with 500 or more employees offered high-deductible plans. That was up from 23% in 2010, according to the survey of 2,844 private and public employers by the benefits consulting firm Mercer.

In all, 13% of insured employees in the survey were enrolled in such a plan this year, up from just 3% five years ago.

Under high-deductible plans, employees pay for more of their initial medical expenses with money deposited by them and their employers into health savings accounts. Money in the accounts can be rolled over from year to year, allowing workers to build up large sums for future medical expenses".


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"Obama's Problematic New Nominee For Top Medicare/Medicaid Post", American Thinker

"Centers for Medicare and Medicaid Services (CMS) chief Donald Berwick will step down on December 2, three weeks before his recess appointment expires on December 31. Fortunately, Dr. Berwick left a voluminous paper trail, leaving little doubt about his affinity for socialized medicine. His controversial views on "redistributional" healthcare and rationing prompted 42 senators to vehemently oppose his nomination last spring.
Not wishing to have another fight on his hands, President Obama has nominated Berwick's second-in-command, Marilyn Tavenner, to head the agency. Tavenner will act as CMS director until her own confirmation hearings sometime next year".


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"Healthcare Sticker Shock In California", Reason.com

Obamacare "high-risk' pools for "pre-existing" conditions go over budget despite enrolling only a fraction of the anticipated number of eligible patients. This is a perfect example of government incompetency in estimating costs of subsidized programs.

"Before ObamaCare's state-based high risk pool program—the pre-existing condition insurance plan (PCIP)—went into effect, critics warned that enrollment in the program would run high and that as a result the program would go overbudget.

In California, at least, it turns out that prediction was half wrong. Enrollment in the program is much lower than expected. But program administrators are now worried it might go over budget anyway".


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"Indiana Places A Big Bet On Consumer-Driven Health Insurance", Stateline

“The prevalent model of health plans in this country,” the Republican Daniels argued recently in a Wall Street Journal commentary, “signals individuals they can buy health care on someone else’s credit card.” He called today’s health care system “a machine perfectly designed to overconsume and overspend.”

Consumer-driven health plans have been gaining momentum in the private sector, albeit slowly, for more than a decade. When paired with a federal tax-preferred health savings account, employees end up paying lower monthly premiums and companies report reduced employee benefit costs.



To achieve savings, the plans rely on employees to spend their health dollars wisely. States and companies save money on the actual cost of medical care, not on health insurance premiums. The savings come from reduced use of the health care system and from cheaper prescription drugs.



Indiana employees on the consumer-driven plan had fewer emergency room and doctors’ office visits than their counterparts in the traditional plan, and they opted more often for cheaper generic drugs.


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"Obamacare To Push 1 Million New Yorker's Into Medicaid", New York Post

Medicaid is the number one or two largest expense on most state's budgets. There is every reason to believe the story below will evolve in every state capitol over the next few years as a result of the Affordable Care Act.

Nearly one-third of the state’s population will be on Medicaid in three years if ObamaCare is upheld by the US Supreme Court, state officials said. State officials say the reason for the expected surge is clear: the federal Affordable Care Act, which requires citizens to obtain health insurance or face financial penalties.


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