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Old 03-10-2012, 07:53 AM
 
2,930 posts, read 2,215,660 times
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Just the tip of the iceberg. Medicare reimbursements have been flat for years while medical costs have risen each year. It is not just the doctors who are flat out refusing Medicare patients, one must also factor in the ones who LIMIT the number of Medicare patients they see, or are willing to accept.

One has to wonder what this means for Obamacare. Doesn't look really good for America....
TMA officials dismissed CMS' argument about opting-out doctors being a fraction of the total. They noted that 34 percent of Texas doctors either limit Medicare patients or don't accept any new ones and that a 2011 survey found 50 percent of Texas doctors were considering dropping out in the face of a then-scheduled 29.5 percent cut.
More Texas doctors opting out of Medicare - Houston Chronicle

Looks like "pay to play" concierge medicine is becoming more prevalent.
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Old 03-10-2012, 11:36 AM
 
31,387 posts, read 36,903,269 times
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Originally Posted by sol11 View Post
Just the tip of the iceberg.
Actually it is only the tip of a hyperactive imagination. There is nothing similar between the Affordable Health Care Act and Medicare. Medicare is essential a single payer program like the once proposed public option. Unlike the Medicare the AHCA is based upon private insurers.
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Old 03-10-2012, 04:22 PM
 
9,848 posts, read 8,249,329 times
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All the liability and none of the payment. Of course they should want to drop them.
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Old 03-10-2012, 04:23 PM
 
9,848 posts, read 8,249,329 times
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Originally Posted by ovcatto View Post
Actually it is only the tip of a hyperactive imagination. There is nothing similar between the Affordable Health Care Act and Medicare. Medicare is essential a single payer program like the once proposed public option. Unlike the Medicare the AHCA is based upon private insurers.
If nothing else, the fact Obama stole Half A Trillion from medicade to help fund his disaster does mean they have some things in common.
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Old 03-10-2012, 04:34 PM
 
Location: San Antonio Texas
11,431 posts, read 18,922,875 times
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Originally Posted by RCCCB View Post
If nothing else, the fact Obama stole Half A Trillion from medicade to help fund his disaster does mean they have some things in common.
Not too credible when you misspell "medicaid". Are you sure that you're not referring to Medicare? The $500B amount is often bandied about as the amount siphoned off over a 10-year period. This was to make up for Bush era overcompensation to those private insurers. Paid to kiss Bush's butt, obviously. However, the healthcare reform is now showering these companies with bonu$ incentives when they meet or exceed certain metrics (the 5 star system). All of these companies are now on the bandwagon to achieve the bonuses. Pigs at the trough again.
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Old 03-10-2012, 06:23 PM
 
Location: Foot of the Rockies
90,316 posts, read 120,179,658 times
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Quote:
Originally Posted by sol11 View Post
Just the tip of the iceberg. Medicare reimbursements have been flat for years while medical costs have risen each year. It is not just the doctors who are flat out refusing Medicare patients, one must also factor in the ones who LIMIT the number of Medicare patients they see, or are willing to accept.

One has to wonder what this means for Obamacare. Doesn't look really good for America....
TMA officials dismissed CMS' argument about opting-out doctors being a fraction of the total. They noted that 34 percent of Texas doctors either limit Medicare patients or don't accept any new ones and that a 2011 survey found 50 percent of Texas doctors were considering dropping out in the face of a then-scheduled 29.5 percent cut.
More Texas doctors opting out of Medicare - Houston Chronicle

Looks like "pay to play" concierge medicine is becoming more prevalent.
So we're 2 1/2 months into 2011; have any of these docs started dropping out yet? I don't put much stock into anything that someone says they are going to do. I like to see results. The cut didn't happen, either.
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Old 03-10-2012, 07:57 PM
 
9,848 posts, read 8,249,329 times
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Originally Posted by wehotex View Post
Not too credible when you misspell "medicaid". Are you sure that you're not referring to Medicare? The $500B amount is often bandied about as the amount siphoned off over a 10-year period. This was to make up for Bush era overcompensation to those private insurers. Paid to kiss Bush's butt, obviously. However, the healthcare reform is now showering these companies with bonu$ incentives when they meet or exceed certain metrics (the 5 star system). All of these companies are now on the bandwagon to achieve the bonuses. Pigs at the trough again.
I'm on the fly while watching my three year old today. I can misspell at anytime while keeping an eye on my little guy.

I think you can make the case of overcompensation of doctors in the 80s and early 90s when they paid closer to a full bill to the DOCTOR, not so much to insurance unless they compensated insurance for the doctor.

Would always have been better if it was limited some 30 years ago, but now the payments are so low no doctor makes anything and ends up opening himself to lawsuits by even seeing such people.

Since the 80s there was the introduction of the HMO where a business employing other people got between the people and the doctor.
The way they did it was to sell lower insurance to the buyer and they furnished doctors that in the past washed out as those that would work for the HMO. Got so tough that eventually the HMOs got the regular docs with them as well.
So now everything costs more because we put more middle men between the doctor and their patient. More insanity...
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Old 03-10-2012, 07:59 PM
 
9,848 posts, read 8,249,329 times
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Originally Posted by Katiana View Post
So we're 2 1/2 months into 2011; have any of these docs started dropping out yet? I don't put much stock into anything that someone says they are going to do. I like to see results. The cut didn't happen, either.
Yes they have. In fact one of my doctor buddies refuse to take them now because they cost him money to see them.
It is like having the doctor using his assets to distribute welfare.
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Old 03-10-2012, 08:10 PM
 
2,930 posts, read 2,215,660 times
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Originally Posted by Katiana View Post
So we're 2 1/2 months into 2011; have any of these docs started dropping out yet? I don't put much stock into anything that someone says they are going to do. I like to see results. The cut didn't happen, either.
This is 2 /1 months into 2012, and had you bothered to read the link you would see that facts that doctors HAVE ALREADY DROPPED MEDICARE PATIENTS. The "cut" was kicked down the road a few months, so the "cut" is still a probability.

A little reading might make you better informed.
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Old 03-10-2012, 08:17 PM
 
48,505 posts, read 96,496,294 times
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this is nothig new really as doctors have been stoppig to take medicare patients. If they don't fix the remebusre and it indeed drops to 30% avwerage private insurance as the medicare trustees reprot then it will only get wrose. One has to remmebr that abotu half the new insurer under the new heathcare law will be forced into medicare and especially medicaid.Its estimate that 15 million will be placed on medicaid roles and states take over the increase for their portition in 2017.
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