Local
California Insurance for the Poor/Disabled to cut already low reimbursment
Cuts will hit health providers hard.
USPA NEWS -
The State of California is going to reduce payments which are already some of the lowest in the world by an additional 10%
Already most doctors dont take the insurance and some counties are lucky to have one provider let alone a clinic. Forcing expensive ER care.
Already most doctors dont take the insurance and some counties are lucky to have one provider let alone a clinic. Forcing expensive ER care.
The state of California is going to implement a 10% cut for reimbursement health providers get for providing care to the poor and disabled in the state, under its Med-Cal program. The rates are so low very few providers take the insurance leading to expensive ER care.
The rates are so low they average doctor gets 90% less than typical insurance. Last year a surgeon stated she gets paid $900.00 to perform breast cancer surgery and that has to pay nurses and the hospital along with support staff. The typical reimbursement would be over $20,000.
In poor hit areas when most patients don't have insurance it is nearly impossible to break even. most patients get care at a distant University Medical Center.
The rates are so low they average doctor gets 90% less than typical insurance. Last year a surgeon stated she gets paid $900.00 to perform breast cancer surgery and that has to pay nurses and the hospital along with support staff. The typical reimbursement would be over $20,000.
In poor hit areas when most patients don't have insurance it is nearly impossible to break even. most patients get care at a distant University Medical Center.
Most counties are fortunate to have one or two providers and some dont even have providers limiting care to ER only.
The state budget is doing well and opponents wonder what is going to happen to the system and one anonymous provider said it is already Bad and cant get worse. In fact some doctors don't even bill the system because if they have to pay back for denied claims they have to pay penalties and other fees.
Some think with Obama Care coming the some things will change but some of the proposed plans under Obama Care don't seem much better according to experts.
The state budget is doing well and opponents wonder what is going to happen to the system and one anonymous provider said it is already Bad and cant get worse. In fact some doctors don't even bill the system because if they have to pay back for denied claims they have to pay penalties and other fees.
Some think with Obama Care coming the some things will change but some of the proposed plans under Obama Care don't seem much better according to experts.
Liability for this article lies with the author, who also holds the copyright. Editorial content from USPA may be quoted on other websites as long as the quote comprises no more than 5% of the entire text, is marked as such and the source is named (via hyperlink).
