It’s painful to hear stories like that of the Gills, the Clark County couple profiled in the Aug. 15 story “Provider predicament: Medicare muddles search for a physician.”
The Gills struggled mightily to find a doctor willing to take new Medicare patients. Sadly, the Gills’ experience is common.
Many Northwest physicians have stopped accepting new Medicare patients, citing reimbursement rates that cover only half of what they would charge a privately insured patient. As reported, reimbursement rates are calculated regionally based on the cost to provide care in that area.
In the Northwest, those costs are lower, and so is the reimbursement rate.
So doctors in Washington and Oregon are in effect penalized for the efficiency of the care they provide, and Medicare patients are penalized along with them. Painful.