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Re: CS safer than TOLFrom: ATB28@aol.comWed Sep 11 19:55:46 1996
In a message dated 96-09-11 13:03:52 EDT, NURJSC@NURSE.EMORY.EDU (Judy Schmidt) writes: << HMO's and capitated rates which pay the same regardless of the delivery mode are becoming a factor now. I wonder how many physicians have always charged the same regardless of mode of delivery. Actually, there is an argument for increased fees for vaginal delivery! >> One large HMO in the New York City Metropolitan area (and along the eastern coast of the US...>2M members) has been reimbursing for some time now for time and effort ---> lowest global reimbursement (without add-ons) is elective repeat cesarean; highest global reimbursement (again, without add-ons such as a high-risk component) is for successful VBAC. Allan ***** Allan T. Bombard, MD Dept Obs-Gyn Albert Einstein College of Medicine
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