[optimal] Re: From Denice re New York Times Article
- From: Lori Guerette <justhitanykey@xxxxxxxxxxx>
- To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
- Date: Wed, 4 Dec 2013 12:55:05 -0500
I hear you there. But also need to get more paying into the system to ease the
burden.
May you find your marbles,
And the carefree joy of a child
> On Dec 4, 2013, at 11:59 AM, "CPMC Ophthalmic Diagnostic Center"
> <cpmceyelab@xxxxxxxxxxxxxxxx> wrote:
>
> 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
>
> justhitanykey@xxxxxxxxxxx
>
>
>
>
> -----Original Message-----
> From: "CPMC Ophthalmic Diagnostic Center" <cpmceyelab@xxxxxxxxxxxxxxxx>
> Sent: Wednesday, December 4, 2013 11:35am
> To: "'James Gilman'" <jpgilman2001@xxxxxxxxx>
> Cc: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>, "'sfdrmarc@xxxxxxxxx'"
> <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>
> Date: December 4, 2013, 6:03:10 AM PST
> To: Denice Barsness <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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