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June 13, 2003     Cape Gazette
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June 13, 2003

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- CAPE GAZE'rYE, Friday, June 15 - June 19, Physicians Continued from page 78 ing," said Killeen. "It costs us thousands of dollars to get trained to follow HIPAA rules. As insur- ance companies are paying less, we're spending more money to run our practice." Last year, for example, Bayside Health spent $5,000 simply to train employees on new HIPAA rules and create a manual. The of- more employers are being forced to drop their insurance plans be- cause premiums are too high," he said. "[Insurance companies] have taken as much as they can from physicians," said Killeen. Since they can't likely reduce re- imbursements further, Killeen's theory is patients will take the next fall. He predicts higher premiums for lesser products or companies refusing to cover certain patients, such as those with existing condi- tions. He said he is concerned the rice had tobe Closed for the train- next coot-shift will affect sick 1 m-_ ing piod, :':There area huge tients.. , /' ,. % "i number of CompiianCi," he .. 'i Spiei. 'h."; said. I4IPAA does Tlt/hpve,th,:lv4lit; only regulations, efltfer. /vledical pliarlce traini, sai d -Of the practices must also comply with Occupational Safety & Health Ad- ministration, Centers for Medicaid and Medicare Services and private insurance-related regulations. Training staff on compliance is- sues is time consuming as well as costly. "Nobody subsidizes that at all, and at the same time, we're seeing decreasing reimburse- ments," said Killeen. Expenses are also going up. Malpractice insurance rates are skyrocketing, and employee health-care benefits and salaries are also increasing. At the same time those costs are rising, more patients are becoming dependent on Medicaid, which is among the lowest for reimbursements. Killeen said as the nation's health-care crisis gets worse, more people who are employed are find- ing themselves covered by Medic- aid. "The Medicaid population is going to grow, because more and things that bothers himis the rules that govern insurances, including Medicaid and Medicare, some- times prevent physicians from providing care at all. For exam- ple, if there's a problem with a re- ferral and an insured patient wants to pay cash for a visit rather than reschedule, a doctor cannot accept the payment or treat the patient. To do so would violate fraud laws. Likewise, if a poor patient has a $20 copay, physicians cannot waive the fee in an attempt to ease the patient's financial burden. That, too, constitutes fraud. Finding solutions Despite the complications from demands within the health-care in- dustry, Killeen believes there are many positives in health care, too. 'q'his is an exciting time for health care," said Killeen, noting techno- logical advances expand options for providing care. "And I think Eschbach earns board certification Dr. Leo Eschbach Jr., an obste- trician and gynecologist with Bayside Health Association, re- cently earned his board certifica- tion from the American Board of Osteopathic Obstetricians and Gynecologists. Upon completion of an approved residency pro- gram, physicians become board eligible and upon completion of a minimum of two years of medical practice, they may take the oral certification exam. Eschbach completed his resi- dency through Philadelphia College of Os- teopathic Med- icine in 2000. He joined Bay- side in August 2001 and cur- rently sees pa- tients in Lewes, ESCHBACH Georgetown and Ocean View. To schedule an appointment, call 645-4700. 00/June Promotion NaturaI Vitamin C ye, $49.95 (with this ad) i  $110. 00 Value I Powerful Antioxidant uv Adds smoothness and tone Non-irritating / CALL TODAY FOR APPT. 644- *Off,r not ,,.lld with any 135 2nd St., Lewe, other promotion. New facility offers convenience to patients By Kerry Kester Dr. Paul Gorrin is providing a solution for many inland patients who encounter difficulties when they travel to physicians in the Lewes area, particu- larly during summer months. Rather than patients traveling crowded roadways for up to 20 or more miles, one way, several area physicians will provide service in Millsboro. Gorrin, an internist at Health Care Associates who practices general medicine and specializeSiii allergy ,liagnois and treatmem, is[m ,the r thr:. G ffopes wiB:b completed within:( Several physicians have signed letters of intent / rent space in Sussex Health and Professional Com- plex. Gorrin and his partners - Dr. Lynn Walsh, chiropractor, and Rachel Walsh, interior designer - are still accepting other tenants, investor tenants and investors. Gorrin said his idea began to develop about two years ago, after the Beebe Medical Center Physi- cian Network reorganized so physicians once em- ployed by Beebe became independent of the hospi- tal. Gorrin had been sharing office space with an- other physician, and when she moved to another lo- cation, he found himself in a large office that could accommodate another doctor. "I knew there were physicians in the area who would provide good care to the people in this community," said Gorrin. Soon, a cardiologist, po- diatrist and a counselor started rabletting space from Gortia. .... ! /.That [r, oa., p t : tio jd  :/Xf is  ., conceOt, so vsral diJer'd GORRIN doctors could use space on a part-time basis to provide care to their patients in the Millsboro area and other nearby communities. Health Care Associates in Millsboro has walk-in service and has two family nurse practitioners: Jane Govatos and Margaret Gatti. For more information about the project, call Gor- rin's office at 934-1614. we're the most ethical profession out there." Killeen noted many other indus- tries have undergone painful times of growth and change, such as the transportation industry or other professions. "It's just the time for health care," he said. "I'm trying to look at solutions," said Spieker. "I don't want people to think I'm not doing anything." Spieker and some partners in a separate corporation, for example, are building a new facility adja- cent to Orthopaedics of Southern Delaware in Lewes. The new fa- cility, tentatively named Southern Delaware Surgical Center, will have two operating rooms for out- patient surgeries and space for two Orthopaedics Associates practi- tioners: Dr. Mohammad Mehdi, a pain-management specialist; and Dr. William Barrish, physiatrist. Although that will free some space to add another orthopaedic sur- geon at Orthopaedics Associates, Spieker believes he will still be juggling the schedule to a certain extent. Therefore, he's looking at other options such as building more satellite offices and institut- ing night and weekend hours. Bayside Health, said Killeen, started offering night and weekend hours years ago to accommodate professional women who had dif- ficulty making daytime appoint- ments. About a year and a half ago, Bayside added even more hours and now remains open until 8 p.m., three nights a week, and until noon, Saturdays. Practitioners found sometimes it is easier for mothers to see their physicians in the evenings or weekends when there is someone to take care of their children. Bay- side also has satellite offices in Georgetown and Ocean View to accommodate those who either live or work in those areas. Orthopaedics Associates is erecting a building on Airport Road in Milford that is expected to be completed soon. The practice is also exploring options for open- ing satellites in Ocean View and Millsboro to accommodate pa- tients who live inland. After The Perfect Workout, Enjoy The Perfect Meal! numbers. I manage my diabetes by watching what I eat, making rune for regular physical activity, and taking my medicine as prescribed. With my diabetes under control, I fed a lot better and have more ener. Best of all, I'm going to be around for my family.., for my friends.., for live. Call the flne  -, 1-$OOdI64-1EOLP (4357) and ask  _ . ..... 17 ]1[. i ' dialSetes. - -- o,,, N '1 "-I''u" I I OVEaLOOKINO TNE OCEAN I | Boardwalk & VIroinla Ave. II i Rohoboth Boaoh, DE i I 226-0920 I PERSONAL TRAINING AVAILABLE NOW OFFERING TANNING MASSAGE AVAILABLE 7 Days a Week