tci Medicare Compliance & Reimbursement - 2003 Issue 18

Physician Payment: MEDICARE, PRIVATE-PAY RATES CREEP CLOSER TOGETHER

Is Medicare's influence on private payers what's really bugging docs?Despite threats from physicians over the past two years that they'll stop seeing Medicare patients due to low reimbursement, some recent reports suggest that it may not be Medicare rates so much as the extent to which private payers increasingly echo those rates in their own reimbursement schemes that is the real thorn in physicians' sides. "Although total practitioner services spending for the privately insured has risen substantially, fees (payment per service) of private insurers have been stable in recent years," according to the Maryland Health Care Commission's...

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