Comments on: Florida Medicaid Reform; One Year’s Progress http://www.john-goodman-blog.com/florida-medicaid-reform-one-year%e2%80%99s-progress/ Insights on Health Care Reform | NCPA Tue, 16 Mar 2010 22:20:48 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Dr. Bob Kramer http://www.john-goodman-blog.com/florida-medicaid-reform-one-year%e2%80%99s-progress/comment-page-1/#comment-38944 Dr. Bob Kramer Tue, 29 Jul 2008 14:55:04 +0000 http://www.john-goodman-blog.com/florida-medicaid-reform-one-year%e2%80%99s-progress/#comment-38944 Sounds like an old record, "free care is worth exactly what you pay for it". Can Medicaid in Florida reimburse physicians in an equitable manner? My Medicaid reimbursement for patients I saw at UT Southwestern was ludicrous. Fortunately my faculty salary kept me from food stamps. Sounds like an old record, “free care is worth exactly what you pay for it”. Can Medicaid in Florida reimburse physicians in an equitable manner? My Medicaid reimbursement for patients I saw at UT Southwestern was ludicrous. Fortunately my faculty salary kept me from food stamps.

]]> By: Regina Herzlinger http://www.john-goodman-blog.com/florida-medicaid-reform-one-year%e2%80%99s-progress/comment-page-1/#comment-38943 Regina Herzlinger Tue, 29 Jul 2008 14:49:54 +0000 http://www.john-goodman-blog.com/florida-medicaid-reform-one-year%e2%80%99s-progress/#comment-38943 This is great. This is great.

]]> By: Michael Macris, M.D. http://www.john-goodman-blog.com/florida-medicaid-reform-one-year%e2%80%99s-progress/comment-page-1/#comment-38941 Michael Macris, M.D. Mon, 28 Jul 2008 18:34:56 +0000 http://www.john-goodman-blog.com/florida-medicaid-reform-one-year%e2%80%99s-progress/#comment-38941 <p>A question for you: Why couldn't the federal government allow doctors to deduct the charity care they perform on the indigent from their income tax, using some sort of pre-determined Medicaid-style rate? In this way, the doctors would have the incentive to provide more indigent/uninsured care. The down side would be less tax revenue from the doctors. But, the government would be subtracting tax revenue at the "retail" rate, while getting indigent care at the "wholesale" rate, which should put them ahead in the long run. Also, there would have to be some guidelines as to the definition of indigent, otherwise no one would bother to get insurance, but these should be fairly well-defined income levels.</p> <p>Thank you for your good work.</p> A question for you: Why couldn't the federal government allow doctors to deduct the charity care they perform on the indigent from their income tax, using some sort of pre-determined Medicaid-style rate? In this way, the doctors would have the incentive to provide more indigent/uninsured care. The down side would be less tax revenue from the doctors. But, the government would be subtracting tax revenue at the "retail" rate, while getting indigent care at the "wholesale" rate, which should put them ahead in the long run. Also, there would have to be some guidelines as to the definition of indigent, otherwise no one would bother to get insurance, but these should be fairly well-defined income levels.

Thank you for your good work.

]]> By: NurseKeith http://www.john-goodman-blog.com/florida-medicaid-reform-one-year%e2%80%99s-progress/comment-page-1/#comment-38935 NurseKeith Sat, 26 Jul 2008 02:21:40 +0000 http://www.john-goodman-blog.com/florida-medicaid-reform-one-year%e2%80%99s-progress/#comment-38935 Very interesting. Is there a plan to expand the program and scale it up to encompass more consumers in more counties? Is there a larger plan for the demonstration? It seems like the data on the health status of the participants will be very telling and could very well effect the desire to grow the plan even larger. Outcomes speak louder than words, I imagine. Very interesting. Is there a plan to expand the program and scale it up to encompass more consumers in more counties? Is there a larger plan for the demonstration? It seems like the data on the health status of the participants will be very telling and could very well effect the desire to grow the plan even larger. Outcomes speak louder than words, I imagine.

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