Friday, August 22, 2008

Reiterate request to AAOS & ABOS : Protect patients from "bad doctors"

Based on my peculiar conversation with the IDFPR,

1. I sent a letter to the American Academy of Orthopedic Surgeons (AAOS)
and reiterated my request that the organizations review the matter of Dr. Chris Dangles (Carle Clinic Association in Urbana, IL); and

2. I sent a letter to the American Board of Orthopedic Surgeons (ABOS) and reiterated my request that the organizations review the matter of Dr. Chris Dangles (Carle Clinic Association in Urbana, IL)

As I have previously mentioned, there is a new issue with BCBSIL. The Illinois BCBS recently indicated that it would not longer pay claims related to "never events." In effect, BCBSIL is demanding that the hospitals be accountable. That is likely to cause problems because:

1. Hospitals who absorb the cost of the "never event," are in essence admitting that their physician or surgeon committed medical negligence. That is big. Enter the medical malpractice attorneys.

Geez, we have not even been able to convince hospital administrations and physicians of the validity of the "sorry works" concept.

2. IMHO, the hospitals are more likely to formally disagree with the characterization of the "never event" and, as such, demand payment directly from the patient.

Remember that patients always sign documents prior to receiving medical care. The form is presented to the patient as an innocuous means by which the patient assigns the rights to collect insurance to the medical care provider. Included in that "harmless" form is the paragraph wherein the patient promises to pay the ill if the insurance does not pay. That paragraph constitutes a "can of worms" under the insurance carrier's "never event" policy.


I mentioned the BCBSIL issue to the individual at IDFPR on Friday 08-22-08. He scoffed and dismissed the idea that BCBSIL would ever have influence on doctor discipline. Ut-oh.

Kudos on BCBSIL for not following the "program" in Illinois. Stay the course BCBSIL. Don't pay money that "bad doctors" and irresponsible hospitals ignore.

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