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Dr. David Chauvin, M.D. Premier Health Care Services
Testimony on behalf of Emergency Physicians
I wish to thank the committee members for the opportunity to come before you today and participate in the public hearing to discuss Medicaid reform.
My name is Dave Chauvin; I am an Emergency Physician practicing in Ohio for 14 years. I am here today on behalf of all Emergency Physicians as well as Premier Health Care Services, a physician owned and operated organization representing over 250 emergency physicians in urban and rural facilities serving a large Medicaid population.
We have read the testimony and presentations from the past meetings and commend the committee for their due diligence exploring ways to reform Ohio's system.
I would like to provide you with the perspective of our specialty of physicians and what we face
Even though the emergency physicians are truly a safety net provider, budget issues have driven states to continue to reduce the provider fee schedule as a measure to "balance" limited dollars.
Reducing eligibility also is a budgetary measure that creates additional burden of uncompensated care onto the Emergency Physician.
These traditional measures can not continue as the burden on the physician will increase access to care issues.
Emergency Physicians throughout the nation have been working collaboratively with government creating innovative solutions for a win - win solution to impact escalating medical costs
The reform most prominent reform for emergency physician is in the state of Michigan. In essence, case rates were developed for two levels of care.
One rate for patients that were treated and released and another rate for patients that were treated / admitted / or transferred.
This has proven to be advantageous to reducing the line item for emergency physician reimbursement while providing adequate reimbursement for services rendered to Medicaid recipients.