Government to decide on payment for doctors who use medical-imaging

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The government is weighing whether to cut Medicare payments to physicians who use medical-imaging machines to screen patients for diseases like cancer and heart problems. The decision could come as early as Friday. Lawmakers and the Centers for Medicare and Medicaid Services see the cuts as a way to prevent overuse of the technology, which drives up health care costs.

The Wall Street Journal/Dow Jones reports: "The decision will likely stir controversy, because the government has proposed cutting by up to 38% the amount it pays the roughly one million doctors who participate in Medicare when they use disease-screening equipment for procedures like MRIs and CT scans. The move could also have implications for makers of this equipment, including General Electric Co. (GE), Siemens AG (SI) and Eastman Kodak Co. (EK). ... The proposed rule would affect doctors and health professionals who are paid under the Medicare Physician Fee Schedule and also would result in cutting payments for radiation oncology procedures. A broad coalition of congressmen, doctors and patient-advocacy groups have decried such a move, saying the radiology equipment is necessary to treat patients who already are shown to have cancer" (Favole, 10/29).

 


Kaiser Health NewsThis article was reprinted from khn.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.

 

Comments

  1. Cleaves M. Bennett MD FACP Cleaves M. Bennett MD FACP United States says:

    Do you really think doctors would perform unnecessary expensive tests just so they can pay off the loans they took out to pay for the equipment (and probably pay down med school loans too?) I do too. I have been a doctor for 50 years. They way we do things and the problems they face now are very different than when I started out in medicine. I did the first successful CPR ever done in California and the first kidney dialysis ever done in New York. Now they are both so commonplace they can be performed without a doctor present. In the 1950s, checking a patient for disease was done using the stethoscope, looking in the back of the eyes with a ophthalmoscope, careful palpation and percussion, a limited # of blood, urine, feces and sputum tests, and a few kinds of X Rays. Biopsy of the kidney or liver was very new and a big deal. No MRI’s, no CAT scans and no stem cells yet.
    Type 2 diabetes was called maturity onset diabetes because we only saw it over age 50. Now it is a pandemic even among young children.
    We doctors are all doing the best and the most we can but we’re falling behind. Patients have high expectations when they come to the doctor. On the typical American diet and lifestyle, in their 40s they are likely going to, or already have multiple medical problems. And also high expectations for medical miracles. If you the doctor don’t check them for every disease they have heard about on TV and in Parade Magazine, well they probably are going to find another doctor. People like lots of tests. Patients like doctors who do a lot of testing. That’s why they like specialists, because of all their neat and very expensive tests. There you go, that’s human nature.

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
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