Medicaid limits still possible

Article Abstract:

Medical associations hold differing opinions regarding the effects of a per capita-based cap on federal Medicaid outlays. President Clinton's fiscal budget for 1998 is expected to include per capita-based caps on Medicaid, a move that would prohibit per capita Medicaid spending from exceeding per capita economic output. Between 1995 and 1996, Medicaid spending growth was 3.2%, the lowest level ever. Federal Medicaid spending is expected to rise by about 7.8% per year, from $92 billion in 1996 to $144 billion by 2002.

Medicaid, Finance, Clinton, Bill, Trade and professional associations, Professional associations, Trade associations

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Time for changes in RBRVS, HMO rates

Article Abstract:

The Physician Payment Review Commission (PPRC) is calling on Congress to make major changes in the structuring of Medicare payments to Health Maintenance Organizations and managed care plans. PPRC is reviewing its previous recommendations regarding the overhaul of the resource-based relative value scale (RBRVS), used by Medicare to determine fee-for-service payments. PPRC is urging Congress to replace existing volume standards with a sustainable growth rate related to the gross domestic product.

Health Care Services, Management, Health care industry, Medical care, Physicians, Medical professions, United States. Congress, Insurance claims adjustment, Medicare, Relative value scale payment systems (Medical care)

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A concept for helping doctors serve rural communities

Article Abstract:

The Colorado Medical Society tried to establish a program of loan repayments and income tax credits that had been very effective in Oregon, where it raised rural primary care services by 40%. However, faced with opposition from the conservative Colorado Legislature, the Medical Society joined with county commissioners from underserved rural areas to form its own program, Colorado Rural Outreach Program, by pledging to raise $5 million on its own over the next three years.

Health Programs-State, Innovations, Donations, Health planning, Colorado, Health policy, Rural health services, Colorado Medical Society

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