![]() VI (of 15) » by The President's Commission on the Assassination of President Kennedy Extract from : « Warren Commission (6 of 26): Hearings Vol.After we got out to Stemmons-they'd set up a roadblock just as you entered Stemmons Expressway.The governor's car with its police escort rolled through the streets of Calor, en route to the roadblock at the hotel road.Extract from : « Complete State of the Union Addresses from 1790 to 2006 » by Various.Removal of this roadblock has high priority in my legislative recommendations.Extract from : « Deathworld » by Harry Harrison.I'm sure the Cassylians don't want to advertise their bad sportsmanship so there won't be anything as crude as a roadblock.Malone got the car going the roadblock was lifted for him and he went on by.Extract from : « Occasion for Disaster » by Gordon Randall Garrett.Ten yards past the roadblock he turned around and looked at Malone.Extract from : « The Flaming Mountain » by Harold Leland Goodwin.Then, tonight, you took the chance of finding the roadblock.And all that doc gobbling, research shows, hurts competition and hikes prices. The number of hospital-owned physician practices has more than doubled over the last decade. And think about it: If one day a clinic makes $250 for a shot, and with a few tweaks, a hospital can convert that clinic into an outpatient facility and start billing three times more … that’s a pretty appetizing investment. ![]() Gorenstein: A lot of economists believe this pay gap has contributed to the growing problem of market consolidation. But the service is targeted here are pretty simple things - an X-ray, a round of chemotherapy, a checkup for that bum knee - services that a lot of experts argue clinics can do just as safely and effectively as a facility owned by a hospital.īen-Achour: You talked about this in your podcast, and you make the point that this policy change has actually even bigger economic implications than just how much money goes to hospitals. Everyone we spoke to agreed hospitals should get more money when they do complex stuff. Gorenstein: Hopsitals say they deserve the pay bump, that the patients they see are sicker on average. A cut to hospitals means that they’re going to have to scale back on services and offerings in the community. Gorenstein: Here’s how Ashley Thompson from the American Hospital Association put it to me.Īshley Thompson: There is nothing neutral about site-neutral payments. But what’s their argument for why it’s a bad idea? They’re obviously opposed to this change. The boldest proposal out there could save the federal government about $150 billion over the next decade or so.īen-Achour: Well then, hospitals stand to lose billions. Gorenstein: Basically, they want to shut that gap. ![]() ![]() And patients pay more too because they’re often on the hook for 20% of Medicare bills.īen-Achour: So can you lay out how exactly Congress is thinking about changing that or fixing that? Medicare shells out $255 if a community doc does it, but $740 If a hospital doc does it. One example Hannah gave is a common shot people get to numb pain. Gorenstein: That’s Hannah Neprash from the University of Minnesota. Hannah Neprash: Medicare is currently overpaying in a way that they don’t have to be. Sabri Ben-Achour: OK, so boil this down: What is the ultimate problem that the government is trying to fix here?ĭan Gorenstein: So right now Medicare, the major federal insurance program for seniors, pays hospitals more than double on average what they pay independent doctors to deliver the exact same care. He joined “Marketplace Morning Report” host Sabri Ben-Achour to talk about it more, and the following is an edited transcript of their conversation. The proposed policy, known as “site-neutral payment,” would lower the prices Medicare pays hospitals for many common services, like X-rays and checkups, to match what it pays independent clinics.ĭan Gorenstein, executive editor of the health policy news organization Tradeoffs, has been taking a closer look at this. Congress is considering nearly half a dozen pieces of legislation centered on an obscure Medicare payment change that could save the federal government as much as $150 billion over the next decade.
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