Originally posted by MRRiley True John... I just think that it used to be generally confined to small practices and individual doctors. Few major health care providers could or were willing to forgo that revenue stream. However, now it's happening with major care providers with much greater frequency.
I don't think it is generally accurate to say Medicare pays "pennies" on the dollar. That is true of Medicaid. In rural areas, Medicare has not kept up, but thank congress for that. I believe another poster in the health care industry noted that Medicare usually pays about 95% of the cost. The number of doctors who restrict medicare patients is pretty low.
http://www.usatoday.com/news/washington/2010-06-20-medicare_N.htm It is actually mostly primary care doctors that are opting out. Some of these doctors are "making a statement."
Orthopedic surgeons and hospitals are some of the highest paid providers in existence. Here in ABQ, the private practice and hospital won't take Blue Cross for similar reasons. If you have Blue Cross, you go to the University Medical Center for Orthopedic surgery--just like a Medicaid patient. Some of the doctors are very good, though.
On the other hand, how do our health care costs ever go down, if we keep paying the same thing for the same services?