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For many procedures, patients can already choose an independent treatment centre for their operation.
Hospitals will instead see smaller cuts or small increases for many procedures.
Old or frail veterans would have to travel that much farther — to Castle Point or the Bronx — for many procedures, said Mr. Griffin, executive director of the Westchester chapter of the Vietnam Veterans of America and himself a veteran.
B3 Hard Times for City's Hospitals New York City hospitals, coping with federal spending cuts and struggling to adapt to an era in which doctors' offices have replaced them as centers for many procedures, are desperately cutting their budgets.
New York City hospitals, reeling from federal spending cuts and struggling to adapt to an era in which doctors' offices have replaced them as centers for many procedures, are desperately cutting their budgets.
"What startled me about the numbers was that for many procedures, a high percentage are being done by physicians who do one, two, three of these a year, not the ones who are doing 50, 100".
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We are presently considering the non-responders of our study for Thiersch wiring, out of many procedures advocated for rectal prolapse, as it is easy to perform and has yielded optimum results in our hands in the past.
The reasons are well documented: doctors are paid not for how healthy they keep their patients but for how many procedures they order.
One of the plans capped reimbursement for an operation at $5,000, for example, although many procedures cost at least several times that amount.
Under the perverse incentives of the United States health-insurance system, doctors and hospitals are rewarded for performing as many procedures as possible and punished for improving outcomes with cost-effective care.
For this reason, many procedures have been used to produce such maps.
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