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Male Doctors Bill Medicare for More Services Than Female Doctors

Mother Jones

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Via German Lopez, today brings us an interesting study from Andrew Fitch of NerdWallet. Long story short, he finds that male doctors get paid a lot more by Medicare than female doctors.

Obviously there are several reasons for this. Chief among them: Higher paid specialties tend to be dominated by men, and men see more Medicare patients than women. But here’s the most interesting bit:

Male doctors perform more services per patient treated. To explore this, NerdWallet Health devised a metric to calculate a physician’s average “service volume” per patient. We found that male doctors billed Medicare, on average, for one more procedure per patient than female physicians (5.7 services performed per patient by male doctors vs. 4.7 services per patient by female doctors).

This gap in service volume is true across specialties. Male doctors performed more services per patient than female doctors across nearly all specialties. In a specialty like pathology — where doctors infrequently provide services directly to patients — we found no variation in average service volume.

On average, male doctors bill 5.7 services per patient vs. 4.7 for women! That’s a huge gap. And it’s not just that cardiologists tend to bill for more services than, say, pulmonologists. Even within specialties, men bill for more services than women.

But why? Are they just generally more aggressive? Are they gaming the system? Do sicker patients prefer male doctors for some reason? If this analysis turns out to be true, it would sure be fascinating for someone to follow up and try to figure out what’s going on.

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Male Doctors Bill Medicare for More Services Than Female Doctors

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Chris Christie’s Not in the Clear Yet. These Text Messages Show Why.

Mother Jones

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New Bridge Scandal Emails: Port Authority Official Said Christie Team’s Lane Closure “Violates Federal Law”

At his Thursday press conference, New Jersey Gov. Chris Christie said he played no part in causing a traffic jam last fall on the George Washington Bridge and in nearby Fort Lee. He ultimately took responsibility for the debacle, but Christie said his deputy chief of staff, Bridget Anne Kelly, had ordered the traffic jam without his knowledge. Emails showed that she had been in cahoots with David Wildstein, a Christie appointee at the Port Authority of New York and New Jersey. Christie fired Kelly on Thursday, and he insisted that she was the only member of his inner circle who knew that the traffic mess was politically motivated and not the result of a supposed traffic study.

Yet text messages turned over to investigators by Wildstein raise the possibility that months before the disclosure this week of Kelly’s bombshell email—“Time for some traffic problems in Fort Lee”—other senior Christie aides knew the traffic study excuse wasn’t true.

Here’s the backstory. The traffic jam happened on the week of September 9 and quickly became a local controversy. Lawmakers began investigating, and on November 25, Bill Baroni, another Christie appointee at the Port Authority, testified before the New Jersey Assembly’s transportation, public works, and independent authorities committee. Baroni told lawmakers that the lane closures were part of a study to determine whether Fort Lee should have three dedicated lanes leading onto the George Washington Bridge.

State lawmakers didn’t buy Baroni’s explanation. “I think that at best this was clumsy and ham-handed,” said committee chair John Wisniewski, a Democrat. “At worst, this was political mischief by a political appointee.”

Immediately after his testimony, according to documents released this week, Baroni texted David Wildstein asking how Christie administration officials in Trenton, the state capital, had reacted to his testimony:

11/25/2013 11:58 AM David Wildstein: You did great
11/25/2013 11:58 AM Bill Baroni: Trenton feedback
11/25/2013 11:59 AM Bill Baroni: ?
11/25/2013 11:59 AM David Wildstein: Good
REDACTED MESSAGE
11/25/2013 11:59 AM Bill Baroni: Just good? Shit
11/25/2013 12:00 PM David Wildstein: No i have only texted brudget Bridget Anne Kelly and Nicole they were VERY happy
11/25/2013 12:00 PM Bill Baroni: Ok
11/25/2013 12:00 PM David Wildstein: Both said you are doing great
11/25/2013 12:06 PM David Wildstein: Charlie said you did GREAT

Note the two names in that exchange we have placed in bold type: Nicole and Charlie. According to public records and news stories, the only Nicole politically close to Christie at the time was Nicole Davidman, who was the governor’s campaign finance director in 2013 and the wife of Christie’s press secretary. The only Charlie in Christie’s inner circle was Charles McKenna, Christie’s chief counsel and the aide now leading the internal investigation of the bridge mess. State investigators assume that the Charlie mentioned in this text is McKenna, according to a legislative source, but they are not yet certain about Nicole (though they have not yet identified other possibilities).

Presuming these texts refer to Davidman and McKenna, here’s what needs to be answered: Were these two Christie lieutenants happy about Baroni’s testimony for the same reason as Kelly? Both Kelly and Wildstein knew the study wasn’t the true cause of the traffic mess, and it’s reasonable to conclude that they were delighted because Baroni had stuck to that story and not said anything about Kelly instructing Wildstein to cause the jam that paralyzed traffic in Fort Lee for days. But did Charlie and Nicole cheer Baroni’s bogus testimony in the same way? And what does it mean that Wildstein, the man who arranged the lane closures, lumped together Kelly, the aide who instigated the closures, and Nicole? (Christie touched on this only briefly in his press conference: “I believe that I’ve spoken to everyone who was mentioned in the emails except for Charlie McKenna, who is away at a family funeral. And I am confident, based upon my conversations with them, that they had no prior knowledge nor involvement in this situation.”)

This is just one line of inquiry Bridgegate investigators ought to focus on. Christie asserts that Kelly was the only member of his political team in on the bridge caper. But if others were aware of Baroni’s stonewalling, the governor has a problem—especially if that includes McKenna, whom Christie has picked to probe the bridge scandal. At the least, it might be ill-advised for the governor to have a fellow who apparently praised Baroni’s bogus testimony in charge of penetrating the cover-up.

Christie’s office did not respond to a request for comment for this article.

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Chris Christie’s Not in the Clear Yet. These Text Messages Show Why.

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Chemical Spill Fouls Water in West Virginia

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The Art of Raising a Puppy (Revised Edition) – Monks of New Skete

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Chemical Spill Fouls Water in West Virginia

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Economic Scene: Unavoidable Answer for the Problem of Climate Change

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Codex: Space Marines (Enhanced Edition) – Games Workshop

The Space Marines are the chosen warriors of the Emperor, and the greatest fighting force of the Imperium. Each Space Marine is a genetically enhanced super soldier, easily a match for a dozen lesser men, armed with some of the deadliest weapons in the galaxy and encased in formidable power armour. This codex explores the formations and Chapters of the Space […]

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Codex: Inquisition – Games Workshop

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The Knitting Answer Book – Margaret Radcliffe

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Marley & Me – John Grogan

The heartwarming and unforgettable story of a family and the wondrously neurotic dog who taught them what really matters in life. Now with photos and new material

iTunes Store
How to Raise the Perfect Dog – Cesar Millan & Melissa Jo Peltier

From the bestselling author and star of National Geographic Channel’s Dog Whisperer , the only resource you’ll need for raising a happy, healthy dog. For the millions of people every year who consider bringing a puppy into their lives–as well as those who have already brought a dog home–Cesar Millan, the preeminent dog behavior expert, says, “Yes, […]

iTunes Store
Inside of a Dog – Alexandra Horowitz

The bestselling book that asks what dogs know and how they think, now in paperback. The answers will surprise and delight you as Alexandra Horowitz, a cognitive scientist, explains how dogs perceive their daily worlds, each other, and that other quirky animal, the human. Horowitz introduces the reader to dogs’ perceptual and cognitive abilities and then draw […]

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Economic Scene: Unavoidable Answer for the Problem of Climate Change

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