AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.

A case of Medicare-induced dyspepsia.(LETTERS)(Letter to the editor)

OB GYN News

| February 15, 2006 | Urbach, Daniel J. | COPYRIGHT 2006 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Our real problem with Medicare is that patients are unaware that they are not allowed to pay what they can for medical services ("Physicians Make Final Plea to Fix Fee Schedule," Dec. 1, 2005, p. 7).

The prohibition on balance billing means that Medicare patients are forbidden to purchase services they want from doctors and other providers. I can think of a few things in this country, other than health care for the elderly and the disabled, that are illegal to buy and sell. They include certain drugs, sex, and stolen goods. It is an outrage that medical services from Medicare-participating providers are also on that list.

Patients should be permitted to pay providers who participate in Medicare for the time and services that they want. They are unaware that these doctors would be penalized for spending that time, unless they did it for free. Patients have no recourse except to change to a physician who has opted out of Medicare.

It is not just Medicare patients who are unaware of the prohibition on balance billing. It is employers, who pay double-digit inflation in health care dollars because Medicare costs are shifted to them. Employers have as much interest as do physicians and patients in removing the balance billing prohibition. They have lots of clout in Washington.

The debate over Medicare payment updates and pay for performance is an exercise in absurdity. Physicians' representatives are begging an unresponsive bureaucracy ...

Related articles from newspapers, magazines, journals, and more
OIG to target balance billing for medical equipment, supplies.
Newspaper article from: Home Health Business Report October 18, 1999 700+ words
...the most is the one on balance billing, said DeCarlo, an...supposition that if Medicare is paying a lot for...OIG, the review of balance billing will seek to determine the extent to which Medicare beneficiaries are subject...
Regulations Against Balance Billing to Impact Orange County, Calif.,...
Press release article from: PR Newswire February 23, 2009 700+ words
...to be appealed. "Balance billing will continue to be...challenges around balance billing are not confined to...Overview finds that balance billing will be up for discussion...physicians, health plans, Medicare/Medicaid, pharmaceutical...
Consumer Advocates Urge Veto of Health Legislation, Cite Poll Showing...
Press release article from: Business Wire May 28, 2009 700+ words
...bills, but the 'balance-billing bill,' SB 1122...Federal law prohibits balance billing by providers of services covered by Medicare and Medicaid, but...prohibit doctors from balance-billing Florida patients...
Employers to continue push to ban balance billing.
Magazine article from: Business Insurance Fletcher, Meg February 3, 1997 700+ words
...groups and insurers to ban balance billing of injured workers, but the...come up again this session. Balance billing is the practice of medical...to again lobby for a ban on balance billing during the Legislature's...
California Supreme Court Prohibits Balance Billing By Non-Contracting Emergency...
News wire article from: Mondaq Business Briefing January 20, 2009 700+ words
...the HMO. This practice, known as "balance billing," has generated a great deal of...judicial determination that practice of balance billing was unlawful. The trial court and...triggering the Act's prohibition against balance billing. The Court held that Section 1379...
The balancing role of balance billing.(about health care charges)
Magazine article from: Healthcare Financial Management Fedor, Frank May 1, 2006 700+ words
...Subscribers in the Middle Regulators abhor balance billing because it puts the subscriber in...Statutes thus commonly prohibit balance billing by providers that have a contract...rate it is willing to accept, the balance-billing prohibition, and any other terms...
California's Physician Groups Applaud Supreme Court's Decision to Declare...
Press release article from: Business Wire January 9, 2009 700+ words
...Medical Group et al, and declared that balance billing of HMO enrollees who receive emergency...strong message to anyone engaged in balance billing that this sharp practice has been...have long sought a prohibition on balance billing because we believe that patients should...
AL: 'balance billing' issue in pts.' accident case: courts divided over...
Newspaper article from: Hospital Law's Regan Report Tammelleo, A. David April 1, 2008 700+ words
...improper certain hospitals' practices of "balance billing" patients enrolled in health-maintenance...method recognized whether it be to allow "balance billing" or not to allow "balance billing." This is the only way in which we can...
For more facts and information, see all results
©2009 Gale, a part of Cengage Learning. All rights reserved.
About us | FAQs | Contact us | Privacy policy | Terms and conditions
Other Gale sites: Encyclopedia.com | HighBeam Research | Acquire Content | Books & Authors | Goliath | MovieRetriever | Smart QandA