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Medicare to Start
Paying Doctors Who Coordinate
Needs of Chronically Ill Patients

New York Times, by Robert Pear

Original Article

Posted By:LittleHoodedMonk, 8/16/2014 6:53:28 PM

Washington - In a policy change, the Obama administration is planning to pay doctors to coordinate the care of Medicare beneficiaries, amid growing evidence that patients with chronic illnesses suffer from disjointed, fragmented care. Although doctors have often performed such work between office visits by patients, they have historically not been paid for it. Starting in January, Medicare will pay monthly fees to doctors who manage care for patients with two or more chronic conditions like heart disease, diabetes and depression. (Snip) With the new initiative, Medicare will adopt some of the techniques devised by health maintenance

Comments:
The line to 0bamaCare had to start somewhere. This is just more proof that the Affordable Care Act website is still not functioning (big surprise).

      


Post Reply  

Reply 1 - Posted by: jacooley, 8/16/2014 7:21:52 PM     (No. 9968568)

This is actually a pretty good idea and has nothing to do with Obamacare. It came out of the managed care world and is long overdue. That doesn´t mean the details of how it will be implemented will be perfect, but the core idea is a good one. Some people have every darn thing under the sun wrong with their health and nobody in charge of coordinating their care. It costs a bloody fortune as they careen through the health care system and hurts their odds of a better outcome.

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Reply 2 - Posted by: KTWO, 8/16/2014 7:27:45 PM     (No. 9968571)

My question would be "How is coordination to be measured?" The creation of a boiler-plate plan is no proof. Nor is the logging of one-minute conversations.

Right offhand this sounds very comples and an invitation to billing fraud. Toward the bottom we see that nurse practitioners(sp?), etc. are also to be paid.

Results count. We will see.

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Reply 3 - Posted by: earlybird, 8/16/2014 8:00:22 PM     (No. 9968583)

HMOs already do this. They have networks that include teams of doctors, NPs, physical therapists, occupational therapists, etc., etc., etc.

But how would a community activist know that?

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Reply 4 - Posted by: plex, 8/16/2014 8:51:41 PM     (No. 9968606)

Isn´t your primary care physician supposed to do this?

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Reply 5 - Posted by: kahlerbob, 8/17/2014 2:39:39 AM     (No. 9968737)

Job openings for about 85,000 "coordinators".

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Reply 6 - Posted by: Ida Lil, 8/17/2014 2:45:22 AM     (No. 9968738)

Yes #4 although the best health care appears when the patient coordinates his/her chronic condition with the advice from one doctor who can also overrule if necessary.
To do this a person must learn all the facts of the condition and determine a winning course of action.
As a result of planning I only use one prescription drug insulin. I am healthy with few complications minus depression.

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