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That’s the view of the eight-member panel of industry and medicalk experts who were invited by the Soutnh Florida Business Journal to share theid views of whatthe $787 billion federal stimulus packagr means to the health care What emerged was a broad discussion of how stimulus legislation is just one piece of changed needed in an industry that has run financially amok due to an overreliancs on specialists, shortfalls in information technology and patients who are The Congressional Budget Office has projectedc that total national spending on healthg care could hit 48 percent of gross domestix product by 2050 if left To solve this problem will take more though, in the short term.
The Obama administration’w $59 billion for health care stimulusx spendingincludes $19 billion for electronidc health care records. Starting in 2011, doctors who can show meaningfulo use of electronic medical records will getincentives – and those who don’t will get declining Medicare payments. But, the old-fashioned generao practitioner may also have a big Linda Quick, president of the , said healtj care reform legislation that coincides with the stimulusw calls for individuals to have a home locatiomn or a primary care provider. She said that allows for “a community location close to home and gettingb more done in a actually high clinicaltechnology setting.
” in turn, will also translate into a less costlt location, the panelists said. Rachel Sapoznik, CEO of , “The reason I believe in the last 25 yearx of seeing health care costs rise dramatically is we have movedc away from the primary care physician knowinhg the patientto specialists.” Patientd go from specialist to specialist to get each ailment but an overview of their conditionm and family history is George Foyo, executive VP and chief administrative officef at , said: “Piggybacking on primary care is absolutely All these specialties are adding thousandws and thousands of dollars.
” One problem is that specialists tend to overdo tests becauses they are so worried about legal liability issues, he said. Dr. Tony Prieto, a familyg practitioner and president of the Browars CountyMedical Association, said reimbursement issues for testds done in his office also frustrate him. A hospital might get $2,000 for a test from but he can onlyget “I don’t think it’s anything that’s goingv to work unless we use some commomn sense,” he said. Foyo said primary care physiciana historically put an emphasis on healthprevention efforts, but the lack of it theswe days is contributing to an epidemic of diabetezs and heart issues.
Baptist Health, which is well know n for hospitals in Kendall and is pushing forward with outpatientcenterxs – and even venturing into Broward One reason is emergency rooms are and providing care there is more costly than at an outpatienf center. “Rather than have patients cometo us, the hospitalds are going out to them,” Foyo said. Florida’zs 51 nonprofit community health centers aregettingh $28 million in competitiv grants under the stimulus legislation, whic will also keep patients out of expensive hospita settings for treatment. House Speaker Nancy Pelosi highlighted that during an April visit to a communithy health center in Hollywood that willget $1.
5 million to open a satellite health center in West Park. One of the advantagew for these types of centers is that they are funded with the assumptiohn that their doors will be open to allwho come, whichn is important because of the number of uninsurerd South Floridians, including undocumented foreigners, Quick Dr. Welby, meet Bill Gates Mark administrative partner at the law firm of in said electronic medicalrecords (EMR) fall undetr the category of “shovel-ready” projects in the world of stimulus – meaning the technologgy exists and can be adopted rapidly to put money in the
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