Overall, between insurance companies and Medicare, it is evident that they have gained far too much control over the patient's halthcare and the physician's ability to provide care. Quality care, continuity of care and a caring physician are all on a downhill spiral. Nobody should know my healthcare issues better than my primary care physician and certainly not someone sitting behind a desk only referring to me as a CPT code or ICD-9 code with a policy number. As you know, numerous physicians are no longer taking Medicare patients due to the lack of reimbursement, not knowing if they will downcode the patient's last visit to the PCP and request the money back, or deny payment all together. None of these issues are in reference to fraud, they are all in response to the so-called reform where the head-hunters don't get paid unless recoup money from good physician's. This REFORM is running the good physician's out of business and leaving the patient's at the doors of the emergency rooms for non-emergent care, which in turn runs the expenditure even higher. Now that's a real cost saving measure! Nobody wants to reinvent the medical wheel so everybody adopts Medicare's policies, procedures, etc. Well, it's time to reinvent the wheel. There are local companies here such as Columbia Community Care, Molina, CHPW, and Group Health that are horrific companies to deal with. They all require referrrals which can take days or in the case of Group Health-weeks, before the patient can be seen. Is there health improving during this waiting period-NO! Something minor has now turned into something major and at a higher cost. I want a company that has MY healthcare as their primary interest, not the almighty dollar.
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