[optimal] Re: From Denice re New York Times Article
- From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
- To: "'optimal@xxxxxxxxxxxxx'" <optimal@xxxxxxxxxxxxx>
- Date: Wed, 4 Dec 2013 08:58:53 -0800
Well, in all fairness to the education system, you also pay for the fire
department even though you don’t start one, the police even though you may
never need one, the coast guard when you don’t have a boat… clean water from
the tap even if you don’t drink it….. t goes on and on
In a shared community, the greater body bears the expenses for all. I do
support that notion. I pay taxes to provide for many services I may never
need. It’s the price I am willing to pay to live in a democratic society.
But, to then turn the tables and say you are not allowed to attempt to recoup
the loss, is where I feel the injustice.
D.
Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937 FAX (415) 600-6563
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of copcphotography@xxxxxxxxxxxxxxxxx
Sent: Wednesday, December 04, 2013 8:55 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: From Denice re New York Times Article
Hate to say it, but you are preaching to the choir!!! Wish the government had
to live by the laws they make us live by, with the same benefits! And the
benefits should stop the day they are out of office.
I had a patient in my chairs today getting both OCT and photos (only the photos
will be partially reimbursed as the OCT can't be billed on the same visit) and
was being complained to about that costing being .... .
I can only compare it to the mandates on our education system - no child left
behind, foreign language as primary and requiring aids to translate, ....
These costs to the educational system are UNFUNDED by the government, but are
MANDATED. Same as healthcare. You have to give the same to everyone even
those not paying anything in taxes. Education is over 75% of our annual town
budget total - which everyone (property owners) pays whether they have kids in
the system or not.
Very frustrating. I see the town financial burden as an elected Board of
Finance member - volunteer position. Trying to squeeze out more services with
less and less funding.
Lori
Lori Guerette, CRA COA
Consulting Ophthalmologists, PC
704 Hebron Ave, Ste 200
Glastonbury, CT 06030
860-368-2235 Glastonbury
860-304-4703 personal cell
copcphotography@xxxxxxxxxxxxxxxxx<mailto:copcphotography@xxxxxxxxxxxxxxxxx>
justhitanykey@xxxxxxxxxxx<mailto:justhitanykey@xxxxxxxxxxx>
-----Original Message-----
From: "CPMC Ophthalmic Diagnostic Center"
<cpmceyelab@xxxxxxxxxxxxxxxx<mailto:cpmceyelab@xxxxxxxxxxxxxxxx>>
Sent: Wednesday, December 4, 2013 11:35am
To: "'James Gilman'" <jpgilman2001@xxxxxxxxx<mailto:jpgilman2001@xxxxxxxxx>>
Cc: "optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>"
<optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>>, "'sfdrmarc@xxxxxxxxx'"
<sfdrmarc@xxxxxxxxx<mailto:sfdrmarc@xxxxxxxxx>>
Subject: [optimal] From Denice re New York Times Article
Re: Recent New York Times article on the “astronomical fees that CPMC charges”
In all fairness, one of the reasons CPMC is being picked on is because most
states with large urban hospitals ( New York , Boston, Miami, Chicago, etc) do
not have sunshine laws. They are not required to divulge their charges, like
we are
SF was recently voted ( by New York Times!!!!) as THE most expensive city to
live. A studio one bedroom apartment in the right neighborhood costs nearly
2K. What do people expect. Snow cone prices in a Haagan Daaz city? The
square footage here alone is out of the solar system.
Couple this with our astronomically HIGH percentage of non paying immigrant
population. For every non insured non English speaking patient we see, we
write off close to a thousand bucks ( cause by ADA law, we have to
PAY for their interpreter even though they aren’t paying us…) so our patients
end up COSTING us money. Someone has to make it up on the back end. Do the
math.
My center alone, and we are drop in the CPMC bucket, wrote off nearly a million
bucks last year to “charity care”. Who pays my rent, my salary, my IT, etc
when we are LOSING money? CPMC writes it off and has to make up for it in other
ways.
Our fees are regionally driven. Our OCT charge is $76.00 for one eye. Out of
that, we are reimbursed $14.56. This entire center, to provide a service to a
patient, reimbursed 14.56, SPENT 200.00 for the interpreter and that doesn’t
even factor in overhead…. Makes my head spin…
If I were running the ODC as a private business, we would have been OUT of
business years ago. Luckily, we have CPMC and Sutter health to subsidize the
cost so that EVERYONE walking through the door gets the same level of care,
paying or not. 60% of the patients we saw yesterday we saw as charity care.
All were provided interpreters, transportation, and seen ON TIME.
To demonize CPMC as a Pacific Heights luxury hospital is inaccurate and unfair.
Respectfully,
Denice
FYI: the average salary for a Muni bus driver in this town is 76k!
Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937 FAX (415) 600-6563
From: Denice Barsness [mailto:DeniceBars@xxxxxxxxxxx]
Sent: Wednesday, December 04, 2013 7:37 AM
To: CPMC Ophthalmic Diagnostic Center
Subject: Fwd: Article on prices
Sent from my iPhone
Begin forwarded message:
From: <jpgilman2001@xxxxxxxxx<mailto:jpgilman2001@xxxxxxxxx>>
Date: December 4, 2013, 6:03:10 AM PST
To: Denice Barsness <denicebars@xxxxxxxxxxx<mailto:denicebars@xxxxxxxxxxx>>
Subject: Article on prices
http://www.nytimes.com/2013/12/03/health/as-hospital-costs-soar-single-stitch-tops-500.html?_r=0
Sent from Windows Mail
This article targets you guys for being the most expensive health care in the
US.
You probably charge $ 500.00 for an OCT ?
Jimbalaya
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