Re: GEN: cost containment is a failure

From: art fougner, md (evsono@pipeline.com)
Tue Jan 29 16:22:03 2002


agreed - cost containment by reimbursement capping has obviously not worked - but that apparently doesn't stop a flawed system by making the same mistake again - witness the upcoming medicare cuts. no the hidden costs remain the costs of a lotto-crazed tort mentality. perhaps the only way to achieve meaningful tort reform would be the ability of the patient to sue not only the insurance company but the employer who provided such low end insurance to begin with. stops along the way would of necessity spark the next crisis when employers are forced to drop such benefits, sparking revolt. as long as only the physicians are suffering - who cares?

btw two labs i work in are out of the mammography biz altogether come feb 1. sad to say, the lawsuits are rising, the costs of insurance for our radiologist rose exponentially, the film expense rises and the costs of inspection - a totally understandable but unfunded mandate - together with the niggardly reimbursement caused the administration to throw in the towel. i sure hope the PDQ study is right for in the NYC area - mammograms are getting harder and harder to get as centers closed. this could prove interesting for this phenomenon may spread to other areas. stay tuned.

art

At Tue, 29 Jan 2002, Joe wrote: >
>Art: they obviously aren't talking about fees paid to physicians.We need
>someone to state our problem,i.e. no fee raises for years.The slide started
>in 1994.
>
>"art fougner, md" wrote:
>
>> This in today's ReutersHealth ( courtesy of http://www.pol.net)
>>
>> Cost containment strategy with "staying power" remains elusive, experts
>> say
>>
>> Last Updated: 2002-01-28 16:29:56 EST (Reuters Health)
>>
>> NEW YORK (Reuters Health) - Not all the blame for America's rising
>> healthcare tab should be pinned on managed care, according to executives
>> at the Henry J. Kaiser Family Foundation.
>>
>> In a two-page commentary published last Wednesday, Kaiser Foundation
>> President Drew E. Altman and Vice President Larry Levitt argue that "no
>> approach" to healthcare cost containment deployed in the US over the
>> past 35 years has had "a lasting impact." The analysis appears in an
>> online issue of the health policy journal Health Affairs.
>>
>> Cost containment is re-emerging as a national issue, with payers facing
>> double-digit rates of increase in health spending in 2001 and similar
>> rates of inflation expected this year.
>>
>> In their analysis, Altman and Levitt briefly trace public and private
>> sector efforts to reign in healthcare costs over the past three decades,
>> beginning in the 1960s with the introduction of Medicare and Medicaid
>> and ending in recent years with managed care.
>>
>> "From wage and price controls of the '70s, to voluntary efforts in the
>> '80s, to managed care and the threat of health reform in the '90s, no
>> approach to controlling healthcare costs has had staying power -- costs
>> have always bounced back," Altman said.
>>
>> The co-authors illustrate the rebound effect by charting those
>> strategies against annual inflation-adjusted changes in private health
>> spending per capita from 1961 through 2001. "Managed care is not alone
>> in its failure to solve the healthcare cost problem," they conclude.
>>
>> Given the history of the problem, the team cautions future healthcare
>> reformers not to promise more than they can deliver.
>>
>> well folks - one issue they've NOT addressed - ( i wonder why) is TORT
>> REFORM. wake up and stop the hemorrhage already.
>>
>> just my opinion - i could be wrong.
>>
>> art
>>
>> --
>> art fougner, md
>> ich bin ein New Yorker

--
art fougner, md
ich bin ein New Yorker




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