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Really, We Don't Ration Care and Access is Wonderful! (Shame on GA Caid and Aetna)

March 18, 2010 / 0 Comments / in medicaid, Uncategorized, aetna / by Chip Hart

"Kids caught in Medicaid pay crossfire" says the CNN article from yesterday.  No kidding.  There are two important reasons to read this piece.  First, it highlights the challenge that pediatricians face when working with Medicaid patients - it usually doesn't pay enough to keep your doors open.  There's a reason why only 20% of our clients even qualify for the (potential) ARRA payments as a result of the 20%/30% Medicaid volume requirement.

The story about the child unable to access an orthopedic surgeon who takes Medicaid horrifies me.

The nice part about the article, meanwhile, is that it features Dr. Gottleib, a PCC client.  Even cooler, she's using the PCC EHR in the picture (though you can't see the screen, dangit). Dr. Gottleib, and her husband with whom she practices, are some of the nicest people I've met in this business, and that's saying a lot considering that I work with pediatricians.

Meanwhile, Aetna does its best to limit patient access by cutting all mid-level practioner payments by 15%.  Just like that.  Nice.

Tags: medicaid, Uncategorized, aetna

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