Trying to avoid a similar fiasco in California, the state medical association (www.calphys.org ) is working with the legislature to mitigate the damages to physician incomes from the proposed 2% provider tax on doctors. California’s approach to slicing the health care pie includes offsets to the provider tax. Medi-Cal would increase its provider reimbursements by approximately $4 billion; insurers would be entitled to only 15% of administration and profits of the premiums paid; and licensure requirements on physician extenders would be eased. A headache for California physicians in the scheme, however, is a new, still unspecified, pay-for-performance plan that would affect reimbursement.
Roger Crumley, MD, MBA, Professor and Chairman of the Otolaryngology- Head and Neck Surgery Department at the University of California, Irvine, suggested that California could exempt physicians who accept Medicaid and/or the state’s new reimbursement plan from the revenue tax using their state identification numbers. David Dale, MD, President of the American College of Physicians, agreed that California could exempt physicians who accept public payer reimbursement from an across-the-board tax. You would think the state would exempt them from such a tax. Using physicians’ government IDs, the government could give an incentive such as an exemption to accept Medicaid and the new state reimbursement for previously uninsured. You could even build in a threshold-they have to accept a certain percentage of Medicaid patients, said Dr. Dale. | ← Previous | | | Next → | Single Page