http://news.yahoo.com/s/politico/20090613/pl_politico/23697<<The cuts and savings are likely to engender warnings from providers that de-facto rationing will occur as patients in some areas find themselves unable to find providers willing to perform lab tests, X-rays and the like, due to the lower reimbursement rates.
Hospitals are also likely to protest that the disproportionate share payments, which are targeted for cuts of 75 percent, are vital to maintaining hospitals in costly urban centers, and to keeping teaching hospitals viable. >>
Again, nobody points out the obvious. How does this differ from the arrangements HMOs have now?? Today, most HMO clients cannot use the hospital's in-house lab; they have to go (generally nearby) to a national provider. They almost never can have tests performed in the physician's office. How is what we have right now not rationing?