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    Tuesday, November 11, 2003

    Forgive Us Our Debts: Cut-to-Cure had a lively discussion a couple of weeks ago about a story in the Wall Street Journal that detailed hospitals' efforts to collect bad debt - including having debtors arrested. It got him thrown off one reader's blog list (although I think they've since made up). Dr. Parker and most of his commentors are sympathetic to the hospitals. I confess. I am, too. There are few instances in which a person can't at least pay something, even if it's just a few dollars a month. To repeatedly and completely ignore an outstanding bill as these people did is just irresponsible. And as the WSJ article pointed out, the hospitals all made efforts to work something out before resorting to the law.

    I'm probably more sympathetic to the hospitals now that I'm in solo practice than I would have been a couple of months ago as an employed physician. I have a better idea now who is and who isn't paying me for my services. The insurance companies aren't. Medicare isn't. A lot of my affluent Medicare patients who travel to Florida every winter aren't paying their portion. But my on-the-edge-of-poverty-widowed-alcoholic Medicare patient is. My single working mother with no insurance coverage is. I have the sense that this comment from Dr. Parker's November 6 post is spot on:

    I participated in a study at our institution where we tracked the percentage of collections. It was surprising to see that the uninsured actually paid a significantly greater percentage of their bills when compared to those with insurance. Rough numbers revealed that collections from insurance companies were about 47%, while collections over time from the uninsured were over 80%. The practice of calling patients no-pays, because they don’t have insurance, was not supported by the numbers.

    Although I'm sympathetic to the hospitals, right now, I'd like to throw the insurance companies in debtors' prison.
     

    posted by Sydney on 11/11/2003 04:40:00 PM 0 comments

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