07-24-2007, 07:31 PM | #21 | |
Demiurge
Join Date: Aug 2005
Posts: 36,365
|
Quote:
|
|
07-24-2007, 07:58 PM | #22 | ||
Senior Member
Join Date: Jan 2006
Location: Clinton Township, MI
Posts: 3,126
|
Quote:
Quote:
If a hospital accepts medicaid and medicare they are contracted with the goverment as previously pointed out in this thread Methodist hospital provided 85 million in charity care last year.
__________________
Its all about the suit |
||
07-24-2007, 08:03 PM | #23 |
Demiurge
Join Date: Aug 2005
Posts: 36,365
|
of the two basic models, which is more common, for surgeons?
(I don't know a single surgeon who is a paid employee for a hospital, if that helps you). and I should add, it is usually a lot more than 1 surgery every quarter. Esp. for trauma surgeons and neurosurgeons. |
07-24-2007, 08:03 PM | #24 | |
Senior Member
Join Date: Jan 2006
Location: Clinton Township, MI
Posts: 3,126
|
Quote:
__________________
Its all about the suit |
|
07-24-2007, 08:04 PM | #25 |
Senior Member
Join Date: Jan 2006
Location: Clinton Township, MI
Posts: 3,126
|
In Michigan its about 50/50
__________________
Its all about the suit |
07-24-2007, 08:06 PM | #26 | |
Senior Member
Join Date: Jan 2006
Location: Clinton Township, MI
Posts: 3,126
|
Quote:
__________________
Its all about the suit |
|
07-24-2007, 08:06 PM | #27 |
Demiurge
Join Date: Aug 2005
Posts: 36,365
|
why do we think medicaid and medicare are run poorly? what is the overhead in the private sector (administrative costs) versus medicaid and medicare?
|
07-24-2007, 08:08 PM | #28 |
Senior Member
Join Date: Jan 2006
Location: Clinton Township, MI
Posts: 3,126
|
Is the "we" directed towards me? Additionally, can you give a little more definition of what you are looking for in the admin costs?
__________________
Its all about the suit |
07-24-2007, 08:16 PM | #29 | |
Demiurge
Join Date: Aug 2005
Posts: 36,365
|
Quote:
There was a hospital in Dallas that was going to lose its status as a level 3 trauma center because of lack of neurosurgery coverage. As far as psychiatry, at one of the larger hospitals they had a hard time getting psych coverage for the ER. So they had residents do it as well as physicians with priveleges. Finally so few psychiatrsts had priveleges, that they now have a social worker do the job along with the ER doc. No longer any psychiatrists that will see patients. Why didn't psychiatrists want to do it? Because it was very infrequent they would hav a patient in the hospital, so privileges don't help that much. And probably 95% of the time, they would not be paid for seeing the ER patient. At another large hospital in Dallas, it was whittled down to something like just 3 psychiatrists taking all the call. Those 3 finally decided to quit, then the hospital poneyed up significant dough to keep them going. It's extraordinarly hard to get a psych consult in most hospitals. Because the referral incentive has broken down. It used to be you could pick up patients by doing consults. But now insurance drives where patients go, not relationships between doctors. So inevitably you go to the hospital, see the patient, and don't get paid, and don't get a patient, and it doesn't matter if you are friends with the referring doctor. Probably every psych consult doc in the country is getting paid a salary. Point is, that doctors are fleeing hospitals when they can, to get away from giving free care. And the free care that does occur, from the hospital's standpoint, is subsidized by the paying patients. And when the charity goes up, the price for paying patients will go up. |
|
07-24-2007, 08:17 PM | #30 |
Demiurge
Join Date: Aug 2005
Posts: 36,365
|
|
Bookmarks |
|
|