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Doctors, like hospitals, hailed the prospect of higher reimbursement.
"You can't promote higher wages without tying that to a higher reimbursement rate," Mr. Schwabe said.
When hospitals lose Medicare revenue, they often seek higher reimbursement from private insurers.
The health service needs meaningful incentives to promote efficiency and meaningful incentives, such as higher reimbursement for less affluent patients, to promote equity.
In a few states, Medicaid recipients and providers have blocked cuts or secured higher reimbursement through litigation.
Data from such reviews could provide doctors, hospitals and nursing homes with powerful new tools to lobby for higher reimbursement.
"Soon after the acquisition was consummated," Mr. Reilly said, "ProMedica approached certain health plans to obtain higher reimbursement rates".
Patients needing such rehabilitation attract higher reimbursement rates from the government than those who are simply frail.
To help ensure better care for patients, the bill would also require plans to include specialists and provide higher reimbursement rates to doctors.
The Legislature's bill seeks to remedy those issues with the requirement that plans include specialists and the higher reimbursement rates to doctors.
To the Editor: Never mind "upcoding" (seeking a higher reimbursement); wait till you see the "downcoding" of the humanity in the patient-doctor encounter.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com