http://dukeresearchadvantage.com/laura/2009/06/22/health-sector-management-case-study-mcallen-texas/ Research that Matters Sat, 06 Mar 2010 19:03:11 +0000 http://wordpress.org/?v=2.9.2 hourly 1 http://dukeresearchadvantage.com/laura/2009/06/22/health-sector-management-case-study-mcallen-texas/comment-page-1/#comment-344 James Fri, 26 Jun 2009 16:29:01 +0000 http://dukeresearchadvantage.com/?p=922#comment-344 As a physician in McAllen Texas I have to agree that there are definite abuses of system for personal gain, but it is unfair to punish all physician in the region for the action of some. Variation in practice patter occurs not just between regions but within regions. That will be the case if CMS implement a cut in reimbursement across the board for all participating medicare providers. Significant saving can be had, especially in McAllen, if they target specific area that are being abused. All you have to do is to look at the proliferation of Home Health Care in this area to know that Non Physician owners of these agency are abusing the system in an unimaginable way. Physician own facility definitely contribute to over utilization of testing such as imaging center and physician owned hospital. My point is to avoid punishing everyone for the act of some is unfair and attempt to curb over utilization is to target specific area and not use across the board cuts to a region. To put it another way is don't nuke the health care system for the whole region, but use strategic strikes to remove the offending enemy.<div class="comment-remix-meta"><a href="#" class="quote" onclick="quote('344','James','As a physician in McAllen Texas I have to agree that there are definite abuses of system for personal gain, but it is unfair to punish all physician in the region for the action of some. Variation in practice patter occurs not just between regions but within regions. That will be the case if CMS implement a cut in reimbursement across the board for all participating medicare providers. Significant saving can be had, especially in McAllen, if they target specific area that are being abused. All you have to do is to look at the proliferation of Home Health Care in this area to know that Non Physician owners of these agency are abusing the system in an unimaginable way. Physician own facility definitely contribute to over utilization of testing such as imaging center and physician owned hospital. My point is to avoid punishing everyone for the act of some is unfair and attempt to curb over utilization is to target specific area and not use across the board cuts to a region. To put it another way is don\'t nuke the health care system for the whole region, but use strategic strikes to remove the offending enemy.'); return false;">Quote</a></div> As a physician in McAllen Texas I have to agree that there are definite abuses of system for personal gain, but it is unfair to punish all physician in the region for the action of some. Variation in practice patter occurs not just between regions but within regions. That will be the case if CMS implement a cut in reimbursement across the board for all participating medicare providers. Significant saving can be had, especially in McAllen, if they target specific area that are being abused. All you have to do is to look at the proliferation of Home Health Care in this area to know that Non Physician owners of these agency are abusing the system in an unimaginable way. Physician own facility definitely contribute to over utilization of testing such as imaging center and physician owned hospital. My point is to avoid punishing everyone for the act of some is unfair and attempt to curb over utilization is to target specific area and not use across the board cuts to a region. To put it another way is don’t nuke the health care system for the whole region, but use strategic strikes to remove the offending enemy.

Quote

]]>