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View Diary: Science Friday: The Breath of Life (138 comments)

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  •  The provider has contracted with Medicare (0+ / 0-)

    to accept the reimbursement rate offered. If the provider refuses to provide a medication or service to a medicare patient because they don't like the amount they are paid to do so, they can lose their entire Medicare eligibility as a provider. Most insurance panels will not include a doctor or facility that is not also a medicare provider. In other words, they could lose the whole enchilada.

    By agreeing to be a Medicare provider they are not allowed to refuse a Medicare patient a medication that they would provide to any patient insured under any other insurance. This is a no-brainer from a class action point of view.  Also the penalties are stiff with punitive fees as well.  Not smart.

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