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Thursday, April 2, 2009

Medicare in the news

From the NY Times, two stories in the health section about Medicare.

Doctors are opting out of Medicare.

Many people, just as they become eligible for Medicare, discover that the insurance rug has been pulled out from under them. Some doctors — often internists but also gastroenterologists, gynecologists, psychiatrists and other specialists — are no longer accepting Medicare, either because they have opted out of the insurance system or they are not accepting new patients with Medicare coverage. The doctors’ reasons: reimbursement rates are too low and paperwork too much of a hassle.

When shopping for a doctor, ask if he or she is enrolled with Medicare. If the answer is no, that doctor has opted out of the system. Those who are enrolled fall into two categories, participating and nonparticipating. The latter receive a lower reimbursement from Medicare, and the patient has to pick up many on Medicare are returning to th more of the bill.

A study found that many patients on Medicare are returning to the hospital.

As many as a fifth of all
Medicare patients are readmitted within a month of being discharged, according to the study, and a third are rehospitalized within 90 days.

Half the patients who returned to the hospital within 30 days of undergoing treatment other than surgery apparently did not see a doctor before they went back.

To read the entire articles, please click on the links.

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