[Home]   [Full version]  

BCBS in Ohio ends controversial experiment

Jun 13 ,Medicine & Health


Anthem Blue Cross-Blue Shield of Ohio has reportedly ended an experiment in which some physicians were paid less for patients needing more attention.

Anthem, a subsidiary of Indianapolis-based health care benefits company WellPoint Inc., initiated the experiment last fall in Cincinnati and Dayton, Ohio,

Under the procedure, Anthem reimbursed physicians in southwest Ohio by a single rate for what had been two varying classifications of patients.

Under the original system, doctors were paid more for additional time needed for some patients, The Indianapolis Star reported Tuesday. But Anthem reduced the number of pay levels from five to four, paying physicians less for some types of patients and a little more for others.

Opponents of the program, such as the American Medical Association, said the procedure provided an economic disincentive for doctors to provide the more comprehensive care required by some patients.

After months of negotiations, Anthem announced it would end the controversial practice Sept. 1.

Copyright 2006 by United Press International

Related stories:

Major study of opiate use in children's hospitals provides simple steps to alleviate harm
Hospitalized kids with painful ailments from broken bones to cancer are often dosed with strong, painkilling drugs known as opiates. The medications block pain, but they can have nasty side effects. Constipation, for instance, is one side effect that can cause discomfort ­ and even extend a child's hospital stay.
High resolution heart images now available at peak stress
While treadmill exercise stress testing is an essential tool in the prevention, detection and treatment of cardiovascular disease, physicians are often challenged to gain clear images of the heart when a patient is at peak stress level.
New method assesses risks for heart failure patients
Data from 260 hospitals across the United States has led to the creation of a new method for physicians to more accurately determine the severity of heart failure in patients upon hospital admission, with a goal of reducing in-hospital mortality and more quickly identifying triage methods and treatment decisions. The model is discussed in the July 29 issue of the Journal of the American College of Cardiology.
FDA approves NeuRx diaphragm pacing system for use in spinal cord- injured patients
The U.S. Food and Drug Administration (FDA) has approved the NeuRx Diaphragm Pacing System (DPS) for spinal cord-injured patients who are dependent on ventilators for breathing. The light-weight, battery-powered electronic DPS allows patients to breathe and speak more naturally, while eliminating the need for a power source and concern over power outages.
First study to examine vitamin D insufficiency in pediatric patients with low bone density
Vitamin D insufficiency is common in adults and is emerging in the world of pediatrics. A mild degree of vitamin D deficiency, also known as vitamin D insufficiency, causes rickets in children and can be treated with increased amount of nutritional vitamin D intake as well as increased sun exposure.
Asthma medicines often not prescribed as national guidelines recommend
More than a decade after national guidelines were issued for asthma treatment, some patients still don’t receive prescriptions for the inhalers that experts say offer the safest and most effective long-term control of the disease, a new study suggests.
Insomnia patients often denied sleep treatment when they have mental health conditions
Patients with insomnia who are diagnosed with accompanying mental health ailments often are not prescribed medication that will help them sleep – which could then make related anxiety or depression worse, new research suggests.
Virtual game helps children escape realities of burn unit
Nurses and physicians at Nationwide Children’s Hospital are using the latest technology to help young burn victims endure the extreme pain of dressing changes and wound care. Instead of traditional distraction devices, such as books and music, Nationwide Children’s Hospital Burn Center is now using virtual reality games to distract patients while nurses attend to the patients’ burn wounds.

News discussion:

Medicine & Health news

[Home]   [Full version]