Featured blog post: Real health reform
Hospitalist Leadership Connection, January 5, 2010
By now, you are aware that a health reform bill passed in each house of Congress and that the two bills must be reconciled before the President can sign the new law. I’ll have more to say about the new law once it is finalized, but it is quite possible that the most significant reform took place on January 1 without any congressional action.
CMS has eliminated consultation billing for Medicare and Medicaid. Why is this significant? It is the first step in reforming practice patterns that were frozen when Medicare was enacted in 1964. Back then, most medical care was provided by general practitioners with occasional help from the limited number of specialists in practice. Group practice was regarded as a form of communism. Hence, almost all doctors practiced alone. Primary care doctors treated their own hospital patients with little involvement from other doctors. Getting a consultation was done infrequently. . . Read more on this post by Richard Rohr, MD, MMM, FACP, FHM, on www.HospitalistLeadership.com.
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