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Mayo Clinic to give preference to privately insured patients over Medicaid patients


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2017 Mar 17, 8:19am   1,600 views  8 comments

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Mayo Clinic’s chief executive made a startling announcement in a recent speech to employees: The Rochester-based health system will give preference to patients with private insurance over those with lower-paying Medicaid or Medicare coverage, if they seek care at the same time and have comparable conditions.

The number of patients affected would probably be small, but the selective strategy reveals the financial pressures that Mayo is facing in part due to federal health reforms. For while the Affordable Care Act has reduced the number of uninsured patients, it has increased the share covered by Medicaid, which pays around 50 to 85 cents on the dollar of the actual cost of medical care.

Mayo will always take patients, regardless of payer source, when it has medical expertise that they can’t find elsewhere, said Dr. John Noseworthy, Mayo’s CEO. But when two patients are referred with equivalent conditions, he said the health system should “prioritize” those with private insurance.

“We’re asking ... if the patient has commercial insurance, or they’re Medicaid or Medicare patients and they’re equal, that we prioritize the commercial insured patients enough so ... we can be financially strong at the end of the year to continue to advance, advance our mission,” Noseworthy said in a videotaped speech to staff late last year. The Star Tribune obtained a transcript of the speech, and Mayo has confirmed its authenticity.

Mayo is hardly alone in trying to build its privately insured clientele. Hennepin County Medical Center, for example, is building a new ambulatory center and North Loop clinic in part to attract privately insured patients.

But in the diplomatic world of health care and politics, it is rare to hear a hospital leader espouse any strategy that promotes access for privately insured patients at the expense of publicly funded patients.

“The most interesting thing isn’t that it’s happening, it’s that a high level executive actually said it out loud,” said Mat Keller, who monitors health care policy and hospital finances for the Minnesota Nurses Association.

Full Article: http://www.startribune.com/mayo-to-pick-privately-insured-patients-amid-medicaid-pressures/416185134/

#Healthcare #HealthInsurance #Medicaid #Medicare

Comments 1 - 8 of 8        Search these comments

1   FNWGMOBDVZXDNW   2017 Mar 17, 11:03am  

Ironman says

Voting for Obama has consequences.

Hospital profits are down and Medicaid has negotiated good prices. Fuck. Shouldn't have voted for Obama.

Now Trump is here. He'll negotiate better prices for Medicaid, and the Hospitals will have bigger profits. Because.... Trump.

J/K. He'll kick people off of Medicaid to lessen the load on the Hospitals and increase their profits. He's really sticking it to the poor man.

2   MAGA   2017 Mar 17, 11:15am  

You have no idea how screwed up medical billing is. 😕

BTW, I worked at the Mayo Clinic, twice. As a IT Consultant not a MD.

3   NuttBoxer   2017 Mar 17, 1:44pm  

anonymous says

Mayo Clinic to give preference to privately insured patients over Medicaid patients

Good. That's one way to start de-funding government crap.

4   Y   2017 Mar 22, 7:27am  

Mustard Clinic does not give preference, due to lack of patients...

anonymous says

Mayo Clinic to give preference to privately insured patients

5   zzyzzx   2017 Mar 22, 9:10am  

Mayo Clinic to give preference to privately insured patients over Medicaid patients

And this is a problem because???

6   Tenpoundbass   2017 Mar 22, 1:09pm  

This was August of 2009 when Obama was going around doing his Def Comedy Roadshows.
Look all of these creeps got insurance at everyone else expense. But look how certain they were that everyone deserves health Insurance.
Today they mean at least they deserve Insureance for free, even we can't afford it.

7   epitaph   2017 Mar 22, 1:19pm  

In other news, McDonalds said today that they would rather sell food to people not ordering off the dollar menu.

8   HEY YOU   2017 Mar 22, 1:57pm  

CASH for MEDICAL TREATMENT or DIE! LOSERS!

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