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View Diary: Live with Gov. Howard Dean! (78 comments)

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  •  Interesting discussion.... (1+ / 0-)
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    Would be interested hearing as well about how these changes affect health care providers?

    From what I'm seeing from my wife who is a psychologist that there is a great potential is drive them out of business as there is much more benefit for physicians to bring in social workers to provide services in house and significant cuts in reimbursement rates.

    "I know the meaning of life. It doesn't help me a bit."

    by dss on Fri Dec 07, 2012 at 10:50:00 AM PST

    •  Social workers can't replace psychologists (0+ / 0-)

      But w/ real HC reform, there will be many more people who will have access to your wife's services.  Patient rolls will expand greatly.

      Like PCP's & physicians assistants, the larger patient load will have to be managed by delegating many simpler services to assistants/social workers, etc. in order to free up access to psychologists for those in need of the higher level of care.

      Democratic Leaders must be very clear they stand with the working class of our country. Democrats must hold the line in demanding that deficit reduction is done fairly -- not on the backs of the elderly, the sick, children and the poor.

      by Betty Pinson on Fri Dec 07, 2012 at 10:59:30 AM PST

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      •  Sure... (0+ / 0-)

        There will be more people, in the meantime there are prospects of 15-20% reductions. It becomes more interesting rather quickly to either stop taking insurance or to find other arrangements.

        What I don't fully understand is that most physicians are creating their own ACO's which leave out psychologists (not cost effective for a physician to hire their own). The change away from fee-for-service seems exceedingly cumbersome to manage and doesn't seem to be the best from a quality care point of view.

        She does well but continuing at the same rate (as it is across many health care providers and the labor market in general) becomes questionable long term.

        I realize as well that this is all new territory and likely a lot of freak out.

        "I know the meaning of life. It doesn't help me a bit."

        by dss on Fri Dec 07, 2012 at 12:32:31 PM PST

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    •  Some of this is a… (0+ / 0-)

      …"we don't yet know" kind of situation. In any system people will figure out how to game it, but until the system is in place you don't know where people's imaginations are going.

      Teh stoopidTM, it hurts. Buy smart, union-printed, USA-made, signs, stickers, swag for everyone: Get your We are the 99% Yard Sign.

      by DemSign on Fri Dec 07, 2012 at 11:03:16 AM PST

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