I spent my entire career working with those of low income and the disadvantaged. I also spent countless hours volunteering and I still volunteer. I never said the approach is a correct one. Personally, I believe that each patients should be treated as an individual. But, the studies and reports that drive how low income patients are treated doesn't look at them as individuals. Bored rich kids aren't the ones that these reports and studies are based on.View Thread
You don't live in my state. And the reports involve all states. Have you ever heard the phrase "don't kill the messenger ?" If you can find reports that state what I said isn't correct, please share them.View Thread
I base what I said on the teaching hospitals where I live and reports from others that I have read. Part of my work also dealt with Medicaid patients.
Are you aware that several yrs ago Washington DC begain to demand the names of high prescribers of pain meds and certain other meds who are also Medicaid Providers along with what Disciplinary Actions would be taken against them several yrs go? Have you read the Ameritox report ? Most state Medicaid programs have limits on how many doses they will pay for the majority of opiates when prescribed over certain time frames for non cancer chronic pain management. In Louisiana, Medicaid won't pay any pain dr for the management of chronic pain.
What I have stated is not a matter of my opinion. It is based on what I saw when I was working and what I have seen in being an advocate for Medicaid patients as well as what I have read. Medicare Part D is also beginning to pay close attention to those who are prescribed opiates for chronic pain.
I don't agree with teaching hospitals being more open mided about prescribing pain meds. The majority of their patients are low income and/or Medicaid patients. Low income and Medicaid patients have shown to abuse and divert pain meds at a greater rate. Most have policies regarding prescribing pain meds for chronic non cancer pain and they don't do it. But, they may have other methods to help manage your pain.View Thread
Yes, you can be dismissed, although it depends on the dr. It also depends on if the PA wrote down what you told them. What you tell a dr/nurse/PA doesn't always get writen down in your file. When you signed the pain contract, you agreed to not take pain meds prescribed to you by another dr.View Thread
As a general rule state medicaid's won't pay for care in other states, except under certain circumstances and those require Prior Approval from the originating state medicaid and/or health plan. I know there are other places besides the south where access to care, let alone quality care for medicaid patients is not a reality. I was also talking about living in the south as a whole.View Thread
More and more drs are refusing to take Medicaid now. And it is going to get worse. The Supreme Court decided Tueday that private providers can't sue to get their government reinbursement. I feel for all of these people that have Medicaid now. It won't do them any good if they can't find a dr who will take it. The vast majority of those who do are not quality drs. And the state Medicaid programs are going to face cuts as the federal money pulls out. The federal government paid for PCP's to get Enhanced Payments from Jan 2012-Dec 2014. Then it was up to each of the 50 states if they wanted to continue the higher rate.That is another reason drs are dropping out of Medicaid.
I would never recommend for anyone to live in the south.View Thread
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