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Sun Jul 26 13:52:21 BST 2009

Norm, I'm not sure that Chuck knows more about that history than we do - he's just younger than we are and REMEMBERS MORE!!!  :)

Ron
________________________________
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of McSwain, Norman E Jr.
Sent: Saturday, July 25, 2009 11:03 AM
To: Trauma-List [TRAUMA.ORG]
Subject: RE: BRAVO to the ACS

You know far more about that history than I do. You keep us honest in these discussions.

Norman

Norman McSwain MD
Trauma Director, Charity Hospital
Professor of Surgery, Tulane University
New Orleans LA
504 988 5111
norman.mcswain at tulane.edu<mailto:norman.mcswain at tulane.edu>

________________________________
From: trauma-list-bounces at trauma.org on behalf of Krin135 at aol.com
Sent: Sat 7/25/2009 9:58 AM
To: trauma-list at trauma.org
Subject: Re: BRAVO to the ACS

Before Dr. McSwain's prodigious memory kicks in, I'll point out that during
 that time, the Louisiana State Employee's Group Medical Insurance was
pretty  much *only* accepted at the Charity and University Hospitals. In
addition, few  of the local OB docs or hospitals would accept medicaid for
delivery.  Essentially, we had a major paying captive audience.

Starting with another hospital I was associated with in 1993-94 time frame,
 most of the hospitals in the state started to accept that insurance, which
 quickly diluted the income from State Group. About the same time, Medicaid
 decided to increase the payments for delivery (bundled with prenatal
care), and  more private OB docs and hospitals started doing those deliveries
again.

ck
Charles S. Krin, DO

In a message dated 7/25/2009 08:46:18 Central Standard Time,
nmcswai at tulane.edu writes:

But the  system was supported by oil money which is no longer available.
Now Big  Charity in New Orleans (which does operate in the black) supports the
rest of  the Charity hospitals in the southern part of the state. I am not
familiar  with the finances of those in the  north

Norman

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