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Docs say Medicare's proposed rates for heart procedure would limit access
Modern Healthcare ^ | July 18, 2014 | Virgil Dickson

Posted on 07/19/2014 6:43:27 AM PDT by Innovative

Cardiac surgeons and medical societies are asking the CMS to reconsider proposed payment rates for implanting Abbott's MitraClip, a device that treats a debilitating heart condition.

Because the device itself costs more than $30,000, the proposed reimbursement rate would make it “prohibitive for hospitals to be able to offer this significant care so badly needed for a large majority of our patients,” Dr. Gregory Helmer, a cardiologist at the University of Minnesota, said in comments submitted to the CMS.

(Excerpt) Read more at modernhealthcare.com ...


TOPICS: Extended News; Government; News/Current Events
KEYWORDS: medicalcare; medicare; medicine; obamacare
Welcome to Obamacare -- the objective is to deny people over 50 life-saving procedures and meds -- they just need to go off and die quietly.

There are no official "death panels", but that is the result of the more and more rules coming to light, sparked by Obamacare.

1 posted on 07/19/2014 6:43:27 AM PDT by Innovative
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To: Innovative

Also see these articles which discuss that another new rule denied ALL Medicare drug payment to patients in hospices, then after an outcry, now they are “only” denying it for pain medications, expecting hospices to pick up the tab.

U.S. Medicare program scales back hospice drugs restrictions

http://www.freerepublic.com/focus/f-news/3182342/posts

Medicare Modifies Controversial Hospice Drug Rule (won’t pay for pain relief pills)

http://www.freerepublic.com/focus/f-news/3182318/posts

See also:

Medicare Seeks To Stop Overpayments For Hospice Patients’ Drugs

May 1, 2014

http://www.kaiserhealthnews.org/stories/2014/may/01/new-medicare-procedures-seek-to-stop-overpayment-of-drugs-for-hospice-patients.aspx

“”Instead of leaving it to insurers and hospice providers to identify the drugs they are responsible for, the new rule sets up a process that requires Part D plans to reject initially any prescription from a hospice patient. The patient or doctor, with the hospice provider’s agreement, must explain to the insurer why the drug is not related to end-of-life care. The insurer may deny coverage for a number of reasons, including if the doctor or hospice did not explain sufficiently why the drug was unrelated to the terminal illness, Medicare officials told hospice organizations and insurers” “


2 posted on 07/19/2014 6:47:12 AM PDT by Innovative ("Winning isn't everything, it's the only thing." -- Vince Lombardi)
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To: Innovative

He sounds like one of those greedy doctors who like to amputate feet.


3 posted on 07/19/2014 6:47:47 AM PDT by VanShuyten ("a shadow...draped nobly in the folds of a gorgeous eloquence.")
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To: Innovative

WTH is that? Pain relief is what hospice DOES. Morphine is their stock & trade in helping the dying.


4 posted on 07/19/2014 6:56:40 AM PDT by nuconvert ( Khomeini promised change too // Hail, Chairman O)
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To: Innovative
The federal government will now fund in excess of $30,000 for citizens to house 5 disease-ridden, law-breaking, alien trespassers in the US, but utilizes the death panel to deny US Citizens access to a $30,000 health procedure for which they have had confiscatory taxes robbed from them for decades.
The federal government is totally out of control and beyond reprehensible.
5 posted on 07/19/2014 7:38:46 AM PDT by Amagi (Lenin: "Socialized Medicine is the Keystone to the Arch of the Socialist State.")
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To: Innovative

Rationing care is what Obamacare is all about. I really wish that only those who voted for Obama would be denied care. Sadly, we all will be denied care in our later years. I have been paying into Medicare for nearly 5 decades so that the elderly would have to worry about healthcare. Now I will be denied care at the behest of this Government?? I HAVE PAID,IN ADVANCE, FOR MY MEDICAL CARE! If this Admin wants to give me back all the money I have paid into Medicare, that’s fine. I will use it to pay for my own medical care. If it runs out, fair enough. JUST GIVE IT BACK TO ME AND LET ME CHOOSE WHERE IT GOES!!


6 posted on 07/19/2014 7:40:41 AM PDT by originalbuckeye (Moderation in temper is always a virtue; moderation in principle is always a vice. Paine)
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To: Innovative

*wouldn’t have to worry*


7 posted on 07/19/2014 7:42:34 AM PDT by originalbuckeye (Moderation in temper is always a virtue; moderation in principle is always a vice. Paine)
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To: Amagi

“The federal government will now fund in excess of $30,000 for citizens to house 5 disease-ridden, law-breaking, alien trespassers in the US, but utilizes the death panel to deny US Citizens access to a $30,000 health procedure for which they have had confiscatory taxes robbed from them for decades. ‘

Exactly. Welcome to the Dems new USA!


8 posted on 07/19/2014 7:46:02 AM PDT by Innovative ("Winning isn't everything, it's the only thing." -- Vince Lombardi)
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To: originalbuckeye

Got news for you, you didn’t pay for anything related to you.
Just like Social Security all you are doing is paying for those already on those programs.
There is no account with your name on it crediting you for Medicare payments.
All the Programs are going bust and those of us in the Baby Boom generation will face reduced benefits all the way around,


9 posted on 07/19/2014 7:47:03 AM PDT by Captain Peter Blood
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To: Innovative

Can anyone spell *D*E*A*T*H***P*A*N*E*L***?


10 posted on 07/19/2014 11:30:27 AM PDT by wintertime
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To: originalbuckeye
There isn't a person alive who has paid more than about $125,000 into Medicare, even if they started work the year it began and maxed out their income every year.

If I were President, I would buy your Medicare card back for $125K in an eyeblink, but.....

How far do you think that much money would take you if you had to pay for a bypass or a hip replacement at the hospital's full charges??

11 posted on 07/19/2014 2:38:08 PM PDT by Eric Pode of Croydon
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To: Innovative
I work with Medicare's reimbursement rules every working day.

Under those rules, patients are welcome to get non-covered procedures provided that they pay for them with their own money.

And ya know what?? I am fine with that.

12 posted on 07/19/2014 2:40:08 PM PDT by Eric Pode of Croydon
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To: Eric Pode of Croydon

Silly person, I would use the money to buy real Health Insurance.


13 posted on 07/19/2014 2:42:42 PM PDT by originalbuckeye (Moderation in temper is always a virtue; moderation in principle is always a vice. Paine)
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