TakeAway: Critics Say Move Shows That Facility Is Not a Model for Health-Care Reform
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Excerpted from Washington Post, Mayo Clinic Faulted for Limiting Medicare Patients, October 13, 2009
The renowned Mayo Clinic is no longer accepting some Medicare and Medicaid patients, raising new questions about whether it is too selective to serve as a model for health-care reform.
The White House has repeatedly held up for praise Mayo and other medical centers, many of which are in the Upper Midwest, that perform well in Dartmouth College rankings showing wide disparities in how much hospitals spend on Medicare patients.
Mayo announced late last week that its flagship facility in Rochester, Minn., will no longer accept Medicaid patients from Nebraska and Montana. The clinic draws patients from across the Midwest and West, but it will now accept Medicaid recipients only from Minnesota and the four states that border it. As it is, 5 percent of Mayo’s patients in Rochester are on Medicaid, well below the average for other big teaching hospitals, and below the 29 percent rate at the other hospital in town.
Separately, the Mayo branch in Arizona — the third leg of the Mayo stool, with the Rochester clinic and one in Florida — put out word a few days ago that under a two-year pilot program, it would no longer accept Medicare for patients seeking primary care at its Glendale facility. That facility, with 3,000 regular Medicare patients, will continue to see them for advanced care — Mayo’s specialty — but those seeking primary care will need to pay an annual $250 fee, plus fees of $175 to $400 per visit.
Mayo officials said Monday that the two moves were “business decisions” that had grown out of longstanding concerns about what it sees as underpayment by Medicare and Medicaid.
The officials said they were not meant to influence the national reform debate, in which Mayo has also been advocating against the creation of a government-run insurance option. But they said the moves were indicative of the need for the Medicare payment reforms it has been pushing in Washington.
http://www.washingtonpost.com/wp-dyn/content/article/2009/10/12/AR2009101202803_pf.html
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