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Newspaper
Middletown Journal
Location
Middletown, Ohio, United States of America
Date
Sep 14, 1970
Page
10
Blue Cross of Southwest Ohio and Blue Shield plan higher fees starting Nov 1 as costs for hospital services rise by about 18.2 percent. The changes affect pooled employer groups and Blue Shield physician fee structures, driven by hospital payrolls and higher doctor use.
A 1967 T and A specialist from Hamilton Dr Clyde Chamberlin urges pre admission testing PAT to reduce hospital stays. He reports using PAT on about four patients daily and cites lowered costs, better bed utilization, and smoother operating room scheduling. He notes PAT is especially helpful for pediatric ENT cases and elec tive procedures.
Roland Becker discovered his name on an $8,611.74 hospital bill for 112 days of care at Cincinnati's Children's Hospital for his infant son Danny. The Beckers are members of a local nonprofit clinic network.
The Blue Cross system marks its fifth year as fiscal intermediary in Medicare funding. A new prime contract between the Blue Cross Association and the Social Security Administration, effective July 1, introduces a negotiated basis for government payment to Plans for Medicare administrative costs.
The notice outlines fee increases effective bills due on or after November 1 for pooled Blue Cross groups in Southwest Ohio. Blue Cross STANDARD and COMPREHENSIVE coverages show monthly increases for individuals and families, while merit-rated groups see staggered adjustments. Blue Shield groups also rise with pooled and merit-rated timelines, with standard, preferred, major, and U C R coverages listed. Not affected are billed-at-home members and group major medical.
Blue Cross of Southwest Ohio requires hospital rate changes to be approved after review of financial records budgets and projected costs. Blue Cross audits hospital bills ensures charges align with diagnosis and actual treatment and promotes cost containment through pre admission testing out patient care and cost sharing programs.
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