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    Sunday, January 28, 2007

    Where's The Money Go? Doesn't this make you wonder?

    Physicians are being paid less by health insurers, according to survey results published by a leading practice management journal this month.

    Meanwhile, employers continue to shoulder double-digit increases in the cost of covering employees while insurers rack up increasing profits and revenue.


    I don't have access to the article, so I don't know what the "leading practice management journal" is or how they conducted their survey, but my experience agrees with the statement. Lower reimubursement, higher insurance premiums. Where does all that money go? Does the increase in the aging population and the chronic diseases that go with it account for that? I would argue not, since Medicare shoulders most of the burden of diseases of aging. Although, there are alot of Medicare subscribers who also carry secondary private insurance.
     

    posted by Sydney on 1/28/2007 11:28:00 AM 1 comments

    1 Comments:

    "Physicians are being paid less by health insurers"

    Question: paid less per procedure or per visit? Or paid less total income?

    Regardless of the answer, physician income per se is not usually the principal factor driving increases in health care premiums. Premiums are responding to the continuing overall increase to the cost of health care driven mainly by rising costs for hospital care, (inpatient and outpatient), pharmacy, lab, and high-tech imaging. In turn these rising costs reflect well-documented increases in utilization of services plus the introduction of newer and more expensive types of diagnostic tools, treatments and medicines. Physicians do not derive income from these types of service (they do order them however).

    I doubt that there are data to support the notion that overall health care costs are actually diminishing. In fact,I'm pretty sure health care costs overall are increasing - as they have for the past 40 years or so. So long as overall health care costs increase, so will health insurance premiums.

    John Fembup

    By Anonymous Anonymous, at 9:16 AM  

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