University Daily Kansan, November 19, 1982
Page 9
University, committee ponder effects of Medicare proposals
By VICKY WILT Staff Reporter
KANSAS CITY, Kan. — Administrators and members of the Kansas Board of Regents health education committee yesterday discussed the damages the state could have made to our core reimbursement could do to the University of Kansas Medical Center.
The proposed regulations would limit the amount reimbursed to physicians who work in institutions that pay the physicians with salaries rather than individual reimbursements for billed charges.
"If there are no exemptions for teaching hospitals it could alter the fiscal integrity of the Med Center. It would hurt us more than other hospitals," said Norton Greene, chairman of the department of physiology.
"If enacted unchanged, we'd compromise fiscal integrity that depends upon physician fees to support the teaching programs."
THE TAX EQUITY and Fiscal Responsibility Act of 1982 made significant changes in the Medicare program. The Health Care Financing Administration recently published 10 proposed
regulations, including the limitations on reimbursement rates, which could increase costs.
The changes would affect the Med Center because the physicians are paid for services such as teaching and as well as their actual service fees.
In an outpatient setting, Medicare fees for physicians' services for which the hospital can claim Medicare reimbursement for overhead will be charged because the doctor does not have to pay any overhead costs.
THE COMMITTEE also discussed the suggested establishment of a $140,000 satellite outpatient clinic in Edwardsville, two miles east of Bonner Springs and 20 minutes from the Med Center. The clinic would be tied fiscally to the hospital's operation, Chancellor Gene A. Budig said.
The proposed location for the clinic is a shopping center across the street from a nursing home and an apartment complex for the elderly, said Charles Hartman, vice chancellor for clinical affairs.
Edwardsville is in an area designated as medically underserved, because recent growth has outstripped the
supply of doctors in the area, Hartman said.
"The intent is to attract people of Bomer Springs and Edwardsville to the community."
A PERMANENT position for the clinic would be filled by a medical student who has been on a Kansas Medical Scholarship, which pays a $4000 per year service for one year service in a medically underserved area. Hartman said.
Financing for the clinic would come from money allocated by the Legislature about a year ago for a satellite operation.
RICHARD VON ENDE, executive secretary to the University, told the committee that a vice chancellor search committee would begin interviewing candidates to replace David Waxman, executive vice chancellor for the College of Health Sciences, who will retire in July.
Joseph Meek, vice chancellor for academic affairs, reported that the Jay-Care Center was providing a significant service and that 68 children in his district attended January, he said, the center should begin to break even financially.
The center provides day care services for the children of Med Center students and staff.
Supervisor in Texas casts spell on bosses
By United Press International
DALLAS—a highly paid supervisor, afraid the county commissioners might replace her, had "magic dust" and broken eggshells that would need to cast a voodoo spell on the lawmakers, an official said yesterday.
Asked if the voodoo spell worked,
County Judge Gary Weber said, "All
I know is my back's been hurting."
A Dallas newspaper reported that the supervisor, Jan Iryb, who earns almost $7,000 a year, wanted to retire. Mr. Iryb, a new director for her department,
She reportedly ordered an assistant in the Dallas County Community, Corrections Department, Laude Rodriguez, to help her with the spell. Rodriguez reported the matter to County Personnel Director Allen Clemson and Community Corrections Director Robert March.
Rodriguez confirmed that she "unwillingly" sprinkled "magic dust" made with black pepper in the commissioners' chambers.
She would not provide any other details, but the newspaper quoted sources 'as saying Irby and Rodriguez wrote county officials' names on a hen's egg, crushed the shell and scattered the pieces in Turtle Creek.
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In addition to audio tapes and pictures showing the union leader with women in sexually compromising situations, the security agents had also been charged with criminate Wales in financial irregularities, NBC reported.
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Polish Catholic officials say security police use sex photos in attempt to discredit Walesa
By United Press International
The agents said the tapes and pictures were made before martial law was imposed in Poland and Walesa was interned last December, NBC said.
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Walesa's release followed the failure of an eight-hour general strike on Nov. 11, called by Solidarity's underground coordinating committee.
It added that sources close to the Roman Catholic Church said the materials were either genuine or fakes of high quality.
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NEW YORK—Polarish security agents, in an apparent attempt to discredit Lech Walesa, showed Roman Catholic church officials photographs and tape showing a founder in sexually compromising situations. NBC News reported yesterday.
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NBC said church officials were thought to believe the evidence was weak that Wales accepted money from groups trying to influence union policy.
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The church officials think the Polish government intends to use the material to discredit Walesa if he tries to become a member of BBC News said, quoting church sources.
Walesa, who was released last Friday after 11 months of internment, told NBC: "I 'am not surprised by these charges. I expected such attacks from my enemies as long as 18 months ago. I am not surprised plus for me. No one will believe them."
NBC quoted sources as saying security agents called Catholic officials to a private meeting shortly before Walesa was released.
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