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Quick Sticks and Hospital Closings From: Bert Gold (bgold@itsa.ucsf.EDU) Sun Mar 31 07:37:28 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: STEWART PRINGLE: "Laparoscopic subtotal hysterectomy" Previous message: R. Daniel Braun: "Re: Evidence-based obstetrics/Medicine" Dr. Braun, thank you for reminding us that simple blood glucose screens are all that are required to establish gestational diabetes unless there is Hx. I think it important that the US OB/GYN community be aware of the following and be ready to respond through a coordinated ACOG statement: Date: Fri, 29 MAR 1996 06:27:33 GMT From: Manuel Perez-Pabon <mperez@netcom.com> Subject: Re: HCFA PLAN TO CLOSE HOSPITALS? Bert Gold <bgold@itsa.ucsf.edu> writes: >A reliable source indicated to me yesterday that the Health Care Fianancing >Administration (HCFA) has developed a plan to issue requests for proposals >from hospitals as prime medicare contractors within particular geographic >zones. The award of such a contract for services will, as the source >described it to me, provide a government-sanctioned monopoly for medicare >services within that geographic area. In most metropolitan areas only >one or a very few provider hospitals will be endorsed by HCFA. As I >understand the composition of our mixed payer system, this will result >in many hospitals becoming inviable and needing to close. >My understanding is that Congress has already quietly endorsed this >proposal by HCFA. >Can any informed physicians or administrators please confirm or deny >this rumor that HCFA is about to issue such RFAs by geographic zone? These plans were laid out long time ago and disguised under the term: "Centers of Excellence", this is certainly what will happen regardless of who wins in November. Manuel Date: 31 MAR 1996 14:18:48 GMT From: Bert Gold <bgold@itsa.ucsf.edu> Newsgroups: sci.med, talk.politics.medicine Subject: HCFA PLAN TO CLOSE HOSPITALS? 'Centers of Excellence' which Manuel tells us are the mechanism through which hospital closures will be facilitated by HCFA (the Health Care Financing Administration of the Federal Department of Health and Human Services), are endorsed in H.R. 3130, The Health Insurance Affordability Act of 1996, at Title I, Subtitle B, Section 111, subsections (b)(1)(B) and (b)(2). Next message: STEWART PRINGLE: "Laparoscopic subtotal hysterectomy" Previous message: R. Daniel Braun: "Re: Evidence-based obstetrics/Medicine"

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