Comments on: The Medicaid Ripoff http://whitecoatrants.wordpress.com/2007/09/20/the-medicaid-ripoff/ Random thoughts about US Healthcare Thu, 07 Aug 2008 22:18:28 +0000 http://wordpress.org/?v=MU By: Howard http://whitecoatrants.wordpress.com/2007/09/20/the-medicaid-ripoff/#comment-359 Howard Sat, 29 Sep 2007 11:36:29 +0000 http://whitecoatrants.wordpress.com/2007/09/20/the-medicaid-ripoff/#comment-359 The variability of reimbursement by Mcaid state to state is mind boggling. In Alaska, docs are reimbursed more that 100% Mcare. I think NY is 17% or so...amazing. Since a significant number of medicaid patient who need ortho surg (my specialty) end up at an academic, level 1 center (in my area) they are typcially cared for by residents with attending supervision. I don't see the arguement CMS has put forth as being valid. Medicaid should institute $5 co-pay... that would signifcantly minimize the rush to care or the Mcaid patient who brings their whole family...just to be checked out---unscheduled of course. The variability of reimbursement by Mcaid state to state is mind boggling. In Alaska, docs are reimbursed more that 100% Mcare. I think NY is 17% or so…amazing.

Since a significant number of medicaid patient who need ortho surg (my specialty) end up at an academic, level 1 center (in my area) they are typcially cared for by residents with attending supervision. I don’t see the arguement CMS has put forth as being valid.

Medicaid should institute $5 co-pay… that would signifcantly minimize the rush to care or the Mcaid patient who brings their whole family…just to be checked out—unscheduled of course.

]]> By: Dr. Greenbbs http://whitecoatrants.wordpress.com/2007/09/20/the-medicaid-ripoff/#comment-281 Dr. Greenbbs Fri, 21 Sep 2007 00:03:41 +0000 http://whitecoatrants.wordpress.com/2007/09/20/the-medicaid-ripoff/#comment-281 Disgusting. So, while I deal with the fucking skin poppers who come to the ED looking for their dilaudid fix, I'm going to lose my salary for my residency training. You know what would really remedy that? If CMS is going to cut the medicaid contribution to GME, then GME should disallow us from taking care of medicaid patients. That would really put a hurt on the government because they wouldn't have the cheap labor to take care of all of those medicaid patients. Disgusting. So, while I deal with the fucking skin poppers who come to the ED looking for their dilaudid fix, I’m going to lose my salary for my residency training.

You know what would really remedy that? If CMS is going to cut the medicaid contribution to GME, then GME should disallow us from taking care of medicaid patients. That would really put a hurt on the government because they wouldn’t have the cheap labor to take care of all of those medicaid patients.

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