American Medical Association backs House health bill.

[theeedude]

http://www.reuters.com/article.../idUSTRE56F5W120090716

"This year, the AMA wants the debate in Washington to conclude with real, long overdue results that will improve the health of America's patients," he wrote.

Amen to that. I am sure they have their own self interest firmly in heart, but at least they see the writing on the wall.

 

[SirStev0]

Many, many, many many doctors are sick of private insurance companies making their decisions for them. They are tired of people not accessing care until the last minute because of cost. We are washing our hands of a system where we have to watch people give up or fall into complete ruin because their insurance decides they aren't worth covering anymore.

This doesn't surprise me at all.


EDIT: Believe me, it is much much more than giving into public opinion as you are implying. Most of us believe that the system is completely broke and the time for debating has long since passed. At this point any action is better than NO action (the republican proposal). I can honestly say I have never ever met a doctor or future doctor that believes the system is working as it should as a private insurance system in its current state.

 

[TruePaige]

Many doctors want a system that is streamlined and simple, where they don't have to check insurance, and refile denied claims all the time.

If the questions only go as far as...

"Did you try X procedure before Y procedure? If not, why?" then they receive reimbursement for X procedure if needed, and Y procedure if X was unfeasible.

Simple.

 

[SirStev0]

Originally posted by: TruePaige
Many doctors want a system that is streamlined and simple, where they don't have to check insurance, and refile denied claims all the time.

If the questions only go as far as...

"Did you try X procedure before Y procedure? If not, why?" then they receive reimbursement for X procedure if needed, and Y procedure if X was unfeasible.

Simple.

to be honest, my biggest worry about UHC is people with only High School educations being hired as adjusters like they have for Workman's Comp. Doctors need to be free to make all decisions with their patients and NO intervention from any outside source.

 

[vi edit]

Originally posted by: SirStev0

Originally posted by: TruePaige
Many doctors want a system that is streamlined and simple, where they don't have to check insurance, and refile denied claims all the time.

If the questions only go as far as...

"Did you try X procedure before Y procedure? If not, why?" then they receive reimbursement for X procedure if needed, and Y procedure if X was unfeasible.

Simple.

to be honest, my biggest worry about UHC is people with only High School educations being hired as adjusters like they have for Workman's Comp. Doctors need to be free to make all decisions with their patients and NO intervention from any outside source.

One of my worries is the already glaring accountability holes that exist under the current medicare system. Faulty claims cost the system billions. Until there is some sort of reform in accountability and claims processing then it's going to be systemic hemorrage of money if it goes full blown UHC.

 

[SirStev0]

Originally posted by: vi edit

Originally posted by: SirStev0

Originally posted by: TruePaige
Many doctors want a system that is streamlined and simple, where they don't have to check insurance, and refile denied claims all the time.

If the questions only go as far as...

"Did you try X procedure before Y procedure? If not, why?" then they receive reimbursement for X procedure if needed, and Y procedure if X was unfeasible.

Simple.

to be honest, my biggest worry about UHC is people with only High School educations being hired as adjusters like they have for Workman's Comp. Doctors need to be free to make all decisions with their patients and NO intervention from any outside source.

One of my worries is the already glaring accountability holes that exist under the current medicare system. Faulty claims cost the system billions. Until there is some sort of reform in accountability and claims processing then it's going to be systemic hemorrage of money if it goes full blown UHC.

this isn't full blown UHC though.

I am not sure exactly what you mean by faulty claims. Are you talking about fraud?

 

[EagleKeeper]

Originally posted by: SirStev0

Originally posted by: vi edit

Originally posted by: SirStev0

Originally posted by: TruePaige
Many doctors want a system that is streamlined and simple, where they don't have to check insurance, and refile denied claims all the time.

If the questions only go as far as...

"Did you try X procedure before Y procedure? If not, why?" then they receive reimbursement for X procedure if needed, and Y procedure if X was unfeasible.

Simple.

to be honest, my biggest worry about UHC is people with only High School educations being hired as adjusters like they have for Workman's Comp. Doctors need to be free to make all decisions with their patients and NO intervention from any outside source.

One of my worries is the already glaring accountability holes that exist under the current medicare system. Faulty claims cost the system billions. Until there is some sort of reform in accountability and claims processing then it's going to be systemic hemorrage of money if it goes full blown UHC.

this isn't full blown UHC though.

I am not sure exactly what you mean by faulty claims. Are you talking about fraud?

From the insurance POV, filingclaims for work thatis not done or not needed.
From the doctors POV, the insurance companies have preauthorized care; then demand additional justifcation paperwork after the fact for procedures that were authorized.
The doc was told to go ahead and take care of the patient; then the paperpushers are coming back and asking why. That cost the office $$ to refile.

Look in OT for Engineer's hernia situation as an example

 

[SirStev0]

Originally posted by: Common Courtesy

Originally posted by: SirStev0

Originally posted by: vi edit

Originally posted by: SirStev0

Originally posted by: TruePaige
Many doctors want a system that is streamlined and simple, where they don't have to check insurance, and refile denied claims all the time.

If the questions only go as far as...

"Did you try X procedure before Y procedure? If not, why?" then they receive reimbursement for X procedure if needed, and Y procedure if X was unfeasible.

Simple.

to be honest, my biggest worry about UHC is people with only High School educations being hired as adjusters like they have for Workman's Comp. Doctors need to be free to make all decisions with their patients and NO intervention from any outside source.

One of my worries is the already glaring accountability holes that exist under the current medicare system. Faulty claims cost the system billions. Until there is some sort of reform in accountability and claims processing then it's going to be systemic hemorrage of money if it goes full blown UHC.

this isn't full blown UHC though.

I am not sure exactly what you mean by faulty claims. Are you talking about fraud?

From the insurance POV, filingclaims for work thatis not done or not needed.
From the doctors POV, the insurance companies have preauthorized care; then demand additional justifcation paperwork after the fact for procedures that were authorized.
The doc was told to go ahead and take care of the patient; then the paperpushers are coming back and asking why. That cost the office $$ to refile.

Look in OT for Engineer's hernia situation as an example

my point is there shouldn't be any paper pushers involved. Doctor + Patient. That is it.

 

[BarrySotero]

Just a few weeks ago the AMA (only has about 20% of doctors in it - many retired) was against Obama's plan and they booed him when he delivered speech to them.

American Medical Association Trying To Torpedo Health Care Reform Again


"Just days before President Barack Obama is set to address the American Medical Association to pitch its members on his vision for health care reform, the 250,000-member physician group announced it would oppose a major component of that effort.

On Wednesday night, the New York Times reported that AMA was "letting Congress know" that it would resist a public plan for health insurance coverage.

Politically, the revelation could be a potentially significant blow to progressive health care reform advocates, who contend that a public option is the best way to reduce costs and increase insurance coverage. AMA has the institutional resources and the prestige to impact debates in the halls of Congress."

http://www.huffingtonpost.com/...associat_n_214132.html


I have no doubt Obama and Co have had a little talk with the AMA

The White House "has been going to various elements of healthcare industry and saying if you oppose this your going to go on the "pay for"list - what is the "pay for" list? you will pay for this the resat of your life because we are going to remember this"

 

[SammyJr]

Originally posted by: BarrySotero
Just a few weeks ago the AMA (only has about 20% of doctors in it - many retired) was against Obama's plan and they booed him when he delivered speech to them.

American Medical Association Trying To Torpedo Health Care Reform Again


"Just days before President Barack Obama is set to address the American Medical Association to pitch its members on his vision for health care reform, the 250,000-member physician group announced it would oppose a major component of that effort.

On Wednesday night, the New York Times reported that AMA was "letting Congress know" that it would resist a public plan for health insurance coverage.

Politically, the revelation could be a potentially significant blow to progressive health care reform advocates, who contend that a public option is the best way to reduce costs and increase insurance coverage. AMA has the institutional resources and the prestige to impact debates in the halls of Congress."

http://www.huffingtonpost.com/...associat_n_214132.html


I have no doubt Obama and Co have had a little talk with the AMA

The White House "has been going to various elements of healthcare industry and saying if you oppose this your going to go on the "pay for"list - what is the "pay for" list? you will pay for this the resat of your life because we are going to remember this"

Or maybe Obama and crew are going to put more significant tort reform measures in the bill? Or maybe the doctors have been promised assistance in implementing EMR systems.

Remember, these are Democrats, not "Do what I say or I'll bomb you" Republicans.

 

[Hayabusa Rider]

We've been headed towards jumping through more hoops for both government and private insurance for a couple decades. HIPAA was supposed to cut back on paperwork but the very act of compliance has enormously magnified the burden all on its own. The OPs utopian health care system will merely shuffle the costs onto the providers. It's a dream come true. Sure.

 

[BarrySotero]

No tort reform - that is why they booed him when he told them he would not address law suits. Recall it was Obama that threatened auto industry and creditors with IRS and White House press corp (oh and there was the bankers too "I am only thing between you and the pitchforks")

 

[ElFenix]

Originally posted by: SirStev0

my point is there shouldn't be any paper pushers involved. Doctor + Patient. That is it.

pay cash. that's the only way there isn't going to be paper pushers.

 

[SammyJr]

Originally posted by: BarrySotero
No tort reform - that is why they booed him when he told them he would not address law suits. Recall it was Obama that threatened auto industry and creditors with IRS and White House press corp (oh and there was the bankers too "I am only thing between you and the pitchforks")

Tort reform may have been added to the bill since the AMA speech. Some other concessions have been made. Or maybe the AMA is coming to its senses and realizing that the current system is unsustainable.

 

[Darthvoy]

Naturally, I am weary of any legislation the AMA supports. While I do not know the exact provisions on the legislation currently making the rounds through congress, I am sure it is not a total fix to the problem.

 

[SirStev0]

Originally posted by: ElFenix

Originally posted by: SirStev0

my point is there shouldn't be any paper pushers involved. Doctor + Patient. That is it.

pay cash. that's the only way there isn't going to be paper pushers.

Hey friend, I'm on the other side of fence. I'm a Doc in training. I'm the one that doesn't like the idea of the kid with an accounting degree and no medical training telling me how to treat my patient.

 

[TechAZ]

"Physician membership in the group has decreased to lower than 19% of practicing physicians"
http://en.wikipedia.org/wiki/A...an_Medical_Association

Don't think for a second that the AMA is somehow a representation of physicians and their concerns.

This is nothing but a feel good headline.