Hold the Mayo

Commentary January 13, 2010 at 07:00 PM
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"Look at what the Mayo Clinic can do," said the president in September. "It's got the best quality and the lowest cost of just about any system in the country. We want to help the whole country learn from what Mayo is doing."

The president is getting his wish, but not in the way he might have wanted. Two weeks ago, the folks at the Mayo operation in Glendale, Ariz. notified their 3,000-plus Medicare patients that they would need to find care elsewhere.

Last year the Mayo Clinic lost $840 million on its Medicare patients because Medicare reimbursements cover only 50% of the cost of primary care for this population. The other Mayo locations are expected to follow suit. In reporting the story, the Wall Street Journal noted that, "…only governments can lose that much money and pretend they don't have to change."

One of the central provisions of Congress' health care soliloquy is to lower reimbursements to hospitals and doctors. One in four Medicare patients already has difficulty finding a primary care doctor who will treat them. Even CMS has warned that reducing payments will exacerbate an already growing problem.

Though this hasn't received a great deal of attention from the LameStream media (no surprise there), the Mayo decision is quite the teachable moment, Mr. President.

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