Tuesday, October 15, 2013

Modern Health Care: Reform Update: Many docs still on the fence about exchange participation

Modern Health Care on MD reluctance to treat Patients from the ACA Exchanges.
A new Medical Group Management Association survey suggests that insurance coverage does not necessarily mean healthcare access. More than half the physician practices responding to the survey said they had not yet decided whether they will participate in health plans sold on the new state insurance exchanges.  
Dr. Stephen Brotherton, president of the Texas Medical Association and an orthopedic surgeon practicing in Fort Worth, said physicians in Texas need more information before making up their minds. “That survey response is not unexpected,” Brotherton said. He added that only about a third of Texas doctors are taking new Medicaid patients and about 58% are taking new patients covered by Medicare. “It's a matter of what you can accept and still keep your doors open.”
Brought to mind a NYT interview with Quentin Young reposted below,

Photo HT Real Barack Obama

Quentin Young qutoed below from in an interview with NYT in 1991.

Docs will suffer a little shame, including Young, rather than go broke treating the poor on Uncle Sam's nickle.

Reality worth keeping in mind with the looming Health Care reform plans. Doc's aren't going to work cheap. They'll suffer the shame instead.
With low fees pushing doctors away from Medicaid patients, the medical tradition of charitable service to those who can pay very little or nothing at all has been sorely tested.

Dr. Quentin Young, a prominent Chicago physician and a longtime champion of liberal causes, has strict rules on the number of Medicaid patients he will see because otherwise, he said, "I'd go broke."

He calls his policy a mix of "reality and shame." Dr. Young said that if doctors refused to treat patients based on race instead of a Medicaid card "there would be Federal protection."

"The health status for people represented by Medicaid is declining," he said. "The people are shunted about. Either they are rejected by competent physicians or are very often put into clinics that abuse the system, with very little gain in health.

"It's a reflection of the powerlessness of the poor," he said, "and the hardening heart of American that is ominous."

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