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April 16, 2009

Some physicians opting out of Medicare due to low reimbursements, excessive paperwork

The New York Times (4/2, F9, Connelly) reports, "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."

These physicians argue that the "reimbursement rates are too low and paperwork too much of a hassle." As a result, patients who are "approaching Medicare eligibility" are advised to "talk to their doctors," because some "may be willing to allow their existing" patients "to remain in their care."

Dr. J. James Rohack, a cardiologist and president-elect of the American Medical Association, also noted that patients can also "'hook up with a primary care provider in an urgent care center who is willing' to provide continuing care."

Meanwhile, "another, more expensive option is concierge or 'boutique' care," where "doctors accept Medicare and other insurance, but charge patients an annual retainer...to get in the door and receive services not covered by Medicare."

Posted by admin at April 16, 2009 03:24 PM





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