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Re:Direct Primary Care by coredog64 on Monday January 09, 2017 @10:57AM (#13357226)
If you take Medicare patients, the fee you charge them is the floor for everyone else. You can't charge anyone less than you charge Medicare.

The reason most facilities take Medicare is that Medicare typically covers the marginal cost (and then some) of whatever services the patient is using. You can't sell yesterday's hospital bed, so better take the pittance from Medicare than get nothing for it.

Re:Direct Primary Care by chimeracoder on Monday January 09, 2017 @11:19AM (#13357426)
> The reason most facilities take Medicare is that Medicare typically covers the marginal cost (and then some) of whatever services the patient is using. You can't sell yesterday's hospital bed, so better take the pittance from Medicare than get nothing for it.

Actually, Medicare doesn't cover the marginal cost. In the aggregate, they reimburse 7% less than that.

Many facilities take Medicare because they are literally obligated to. Right now, many providers (hospital networks, but some practice groups) are actually trying to figure out ways to restructure their businesses so they can legally drop Medicare, but it's difficult.

Re:Direct Primary Care by scott00 on Monday January 09, 2017 @02:02PM (#13358800)
What law/regulation/contract is requiring healthcare providers to take Medicare?