![]() ![]() But the service is targeted here are pretty simple things - an X-ray, a round of chemotherapy, a checkup for that bum knee - services that a lot of experts argue clinics can do just as safely and effectively as a facility owned by a hospital.īen-Achour: You talked about this in your podcast, and you make the point that this policy change has actually even bigger economic implications than just how much money goes to hospitals. Everyone we spoke to agreed hospitals should get more money when they do complex stuff. Gorenstein: Hopsitals say they deserve the pay bump, that the patients they see are sicker on average. A cut to hospitals means that they’re going to have to scale back on services and offerings in the community. Gorenstein: Here’s how Ashley Thompson from the American Hospital Association put it to me.Īshley Thompson: There is nothing neutral about site-neutral payments. But what’s their argument for why it’s a bad idea? They’re obviously opposed to this change. The boldest proposal out there could save the federal government about $150 billion over the next decade or so.īen-Achour: Well then, hospitals stand to lose billions. Gorenstein: Basically, they want to shut that gap. And patients pay more too because they’re often on the hook for 20% of Medicare bills.īen-Achour: So can you lay out how exactly Congress is thinking about changing that or fixing that? Medicare shells out $255 if a community doc does it, but $740 If a hospital doc does it. One example Hannah gave is a common shot people get to numb pain. Gorenstein: That’s Hannah Neprash from the University of Minnesota. Hannah Neprash: Medicare is currently overpaying in a way that they don’t have to be. Sabri Ben-Achour: OK, so boil this down: What is the ultimate problem that the government is trying to fix here?ĭan Gorenstein: So right now Medicare, the major federal insurance program for seniors, pays hospitals more than double on average what they pay independent doctors to deliver the exact same care. He joined “Marketplace Morning Report” host Sabri Ben-Achour to talk about it more, and the following is an edited transcript of their conversation. The proposed policy, known as “site-neutral payment,” would lower the prices Medicare pays hospitals for many common services, like X-rays and checkups, to match what it pays independent clinics.ĭan Gorenstein, executive editor of the health policy news organization Tradeoffs, has been taking a closer look at this. ![]() To learn more, see the privacy policy.Congress is considering nearly half a dozen pieces of legislation centered on an obscure Medicare payment change that could save the federal government as much as $150 billion over the next decade. Please note that Urban Thesaurus uses third party scripts (such as Google Analytics and advertisements) which use cookies. ![]() Special thanks to the contributors of the open-source code that was used in this project: and you might like to check out the growing collection of curated slang words for different topics over at Slangpedia. There is still lots of work to be done to get this slang thesaurus to give consistently good results, but I think it's at the stage where it could be useful to people, which is why I released it. Please also note that due to the nature of the internet (and especially UD), there will often be many terrible and offensive terms in the results. Or you might try boyfriend or girlfriend to get words that can mean either one of these (e.g. The search algorithm handles phrases and strings of words quite well, so for example if you want words that are related to lol and rofl you can type in lol rofl and it should give you a pile of related slang terms. The higher the terms are in the list, the more likely that they're relevant to the word or phrase that you searched for. Note that this thesaurus is not in any way affiliated with Urban Dictionary.ĭue to the way the algorithm works, the thesaurus gives you mostly related slang words, rather than exact synonyms. The official Urban Dictionary API is used to show the hover-definitions. These indexes are then used to find usage correlations between slang terms. The Urban Thesaurus was created by indexing millions of different slang terms which are defined on sites like Urban Dictionary.
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