Biomedical subjects
Publications and source records attributed to K Hallam.
As the Democratic and GOP nominating conventions approach next month, presumptive nominees Al Gore and George W. Bush are offering no new healthcare plans, both preferring to ride the healthcare waves already set in motion by their respective party's leadership. And the really interesting thing is, the plans aren't that different. Call it creeping incrementalism.
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Lost in all the criticism of HMOs for their decision to abandon many Medicare managed-care markets is a core problem: Many providers are unwilling to join networks serving that population. Hospitals and doctors say they can't offer services to seniors for the low reimbursements from Medicare + Choice and stay solvent. As a result, plans are lobbying Congress for payment relief.
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Call it selective prosecution. Last week's disclosure of several alleged "sweetheart deals" involving the settlement of Medicare billing disputes has HCFA officials concerned that other healthcare providers could start demanding more favorable treatment. Former HCFA Administrator Bruce Vladeck (left) was among those testifying on those cases last week in Washington. Meanwhile, a look at data on federal fraud investigations shows big geographic disparities in those probes. See story on p. 36.
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The nation's two largest for-profit hospital chains have adopted another cost-cutting strategy: They've hired a small army of consultants and lawyers to persuade local tax assessors that many of their hospitals are overvalued, so they should pay less in real estate taxes. But the strategy carries some risk for the for-profits, which usually cite tax payments as one of their "community benefits."