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Old 09-16-2008, 02:17 PM
 
Location: Foot of the Rockies
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I'm not sold on the "less administration" costs, at least as units of time consumed. All this stuff has to be documented to the payor, whoever that is.
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Old 09-16-2008, 02:25 PM
 
Location: Pennsylvania, USA
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Quote:
Originally Posted by Katiana View Post
I'm not sold on the "less administration" costs, at least as units of time consumed. All this stuff has to be documented to
the payor, whoever that is.
If you think about how our insurance works.. each plan has subplans.. different payments from the patient vs. insurance.. different payments from insurance to doctors. Different labs for different insurances with mulitple possible payouts.

Doctors have to hire tons of staff just to keep up with the mounds of paperwork..

And with a simple one payer system there will be less adminsitrative work on the side of the "insurance" too.. because it is all mainstreamed.

Of course there will be administrative costs and duties, but it would be simplified and mainstreamed.. if done properly of course.
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Old 09-16-2008, 02:32 PM
 
Location: Foot of the Rockies
84,965 posts, read 98,795,031 times
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In my office, we bill the insurance and they decide if they're going to pay. We actually have one person doing insurance for a five doctor office. You'd have to have one, even if it were a one doc office. The admin comes from the insurance side of it, more than the health care provider's side. And while ins. companies have CEOs who make an obscene amt of money in some cases, that's not who's doing the grunt work. UHI will have rules, too, and some stuff will not be payable, etc. Someone is still going to have to do that work.
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Old 09-16-2008, 02:34 PM
 
Location: Pennsylvania, USA
5,217 posts, read 4,111,845 times
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Quote:
Originally Posted by Katiana View Post
In my office, we bill the insurance and they decide if they're going to pay. We actually have one person doing insurance for a five doctor office. You'd have to have one, even if it were a one doc office. The admin comes from the insurance side of it, more than the health care provider's side. And while ins. companies have CEOs who make an obscene amt of money in some cases, that's not who's doing the grunt work. UHI will have rules, too, and some stuff will not be payable, etc. Someone is still going to have to do that work.
Yes.. I understand that.. but hte work will be less complicated with different payouts etc. Less complicatd takes less time, thereby less man hours..etc.

There are also many other things I addressed that woud drive down the cost of basic health coverage per person.
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Old 09-16-2008, 06:33 PM
 
Location: Pinal County, Arizona
25,107 posts, read 34,361,805 times
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Accounts receivable costs will continue to be a necessity.

If, and its a BIG if - there is a UHI system - how will it be structured? Here is a little know fact - NO ONE KNOWS!

Therefore - if someone trys to tell you "it will go this way" or "that way" they are lying to you - they do not know how such a scheme would work.
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Old 09-16-2008, 06:38 PM
 
Location: Pennsylvania, USA
5,217 posts, read 4,111,845 times
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Quote:
Originally Posted by Greatday View Post
Accounts receivable costs will continue to be a necessity.

If, and its a BIG if - there is a UHI system - how will it be structured? Here is a little know fact - NO ONE KNOWS!

Therefore - if someone trys to tell you "it will go this way" or "that way" they are lying to you - they do not know how such a scheme would work.

No.. there are no certainties in ANY Scheme but the one we have.. so instead people elect to go with what they KNOW no matter how bad it is rather than go with what is not known with any certainty!

You can draw logical conclusions and assumptions however...

Until people overcome fear.. nothing will change and things will remain status quo.. meanwhile fear could be prohibiting and holding us back from a much better way.

This goes for everything not just the health care issue.
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Old 09-16-2008, 06:45 PM
 
Location: Pinal County, Arizona
25,107 posts, read 34,361,805 times
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Quote:
Originally Posted by TristansMommy View Post
No.. there are no certainties in ANY Scheme but the one we have.. so instead people elect to go with what they KNOW no matter how bad it is rather than go with what is not known with any certainty!
There are NO PLANS on the "table" (legislative) - therefore you (and others) are only guessing -

And, I doubt very seriously there will be any UHI plans on the table over the next 2 to 4 years minimum
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Old 09-16-2008, 07:02 PM
 
Location: Pennsylvania, USA
5,217 posts, read 4,111,845 times
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Quote:
Originally Posted by Greatday View Post
There are NO PLANS on the "table" (legislative) - therefore you (and others) are only guessing -

And, I doubt very seriously there will be any UHI plans on the table over the next 2 to 4 years minimum

I wasn't neccesarily talking about what was in legislature now.. I was referring to hypotheticals and possible solutions or "schemes" that were being disussed..

And you even said that you were part of discussions on different schemes to fix health care...
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Old 09-16-2008, 07:59 PM
 
Location: Pinal County, Arizona
25,107 posts, read 34,361,805 times
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Quote:
Originally Posted by TristansMommy View Post
And you even said that you were part of discussions on different schemes to fix health care...
Not UHI

Changes to existing statutes to make health INSURANCE (not health CARE) more affordable

There is a difference
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Old 09-16-2008, 08:08 PM
 
Location: Northglenn, Colorado
3,689 posts, read 9,251,619 times
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Quote:
Originally Posted by Katiana View Post
I'm not sold on the "less administration" costs, at least as units of time consumed. All this stuff has to be documented to the payor, whoever that is.
I do have to agree with you, the sets of words "less administrative costs" and "government" do not go well together.
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