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Old 10-08-2019, 11:47 PM
 
Location: Arizona
6,137 posts, read 3,874,888 times
Reputation: 4900

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I just read an article and the according to a study, the average individual market plan with a commercial insurance company pays 289% Medicare rates in a Colorado study.

Seems as though that is on the high end compared to most of the country, but Medicare rates tend to be extremely low compared to commercial reimbursement rates.

If they go to the "Medicare for All" system either nurses and doctors will have to take a massive cut in pay, their will be long-waits for services because they have to make do far fewer health care workers from nurses to doctors or taxes will have to skyrocket because commercial health insurers won't be in the mix as much providing a massive subsidy to keep hospitals and clinics solvent.

I have seen similar studies about the very high welfare subsidies that commercial insurance plans pay to keep hospitals and other providers open because Medicare and Medicaid (in a majority of states) pay very low reimbursement rates.

https://www.cbo.gov/system/files/201...99-CBO-MBR.pdf

https://www.fiercehealthcare.com/pay...emium-declines

https://www.healthcaredive.com/news/...than-m/445949/
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Old 10-09-2019, 09:19 AM
 
Location: Stillwater, Oklahoma
30,976 posts, read 21,680,212 times
Reputation: 9676
Quote:
Originally Posted by lovecrowds View Post
I just read an article and the according to a study, the average individual market plan with a commercial insurance company pays 289% Medicare rates in a Colorado study.

Seems as though that is on the high end compared to most of the country, but Medicare rates tend to be extremely low compared to commercial reimbursement rates.

If they go to the "Medicare for All" system either nurses and doctors will have to take a massive cut in pay, their will be long-waits for services because they have to make do far fewer health care workers from nurses to doctors or taxes will have to skyrocket because commercial health insurers won't be in the mix as much providing a massive subsidy to keep hospitals and clinics solvent.

I have seen similar studies about the very high welfare subsidies that commercial insurance plans pay to keep hospitals and other providers open because Medicare and Medicaid (in a majority of states) pay very low reimbursement rates.

https://www.cbo.gov/system/files/201...99-CBO-MBR.pdf

https://www.fiercehealthcare.com/pay...emium-declines

https://www.healthcaredive.com/news/...than-m/445949/
Then do you propose doing away with Medicare and Medicaid as a way to deal with skyrocketing health care costs? That way demand for medical care will go down and so will costs.
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Old 10-09-2019, 09:51 AM
 
18,855 posts, read 8,508,289 times
Reputation: 4142
Quote:
Originally Posted by lovecrowds View Post
I just read an article and the according to a study, the average individual market plan with a commercial insurance company pays 289% Medicare rates in a Colorado study.

Seems as though that is on the high end compared to most of the country, but Medicare rates tend to be extremely low compared to commercial reimbursement rates.

If they go to the "Medicare for All" system either nurses and doctors will have to take a massive cut in pay, their will be long-waits for services because they have to make do far fewer health care workers from nurses to doctors or taxes will have to skyrocket because commercial health insurers won't be in the mix as much providing a massive subsidy to keep hospitals and clinics solvent.

I have seen similar studies about the very high welfare subsidies that commercial insurance plans pay to keep hospitals and other providers open because Medicare and Medicaid (in a majority of states) pay very low reimbursement rates.

https://www.cbo.gov/system/files/201...99-CBO-MBR.pdf

https://www.fiercehealthcare.com/pay...emium-declines

https://www.healthcaredive.com/news/...than-m/445949/
First off, not many go with or can afford an individual plan these days. Most like on the Obamacare plans get group rates. And Obamacare already pays much less. About Medicare rates.

Of course a very big reason most docs don't want to go MFA. Low reimbursements and little guarantee of any future raises. Docs don't want single payer. They also want choices. Choices in the plans and patients they accept. Reasonable?
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Old 10-09-2019, 10:07 AM
 
Location: Barrington
63,919 posts, read 46,816,302 times
Reputation: 20675
Congress determines Medicare reimbursement rates.

No MD/ medical practice has to accept Medicare reimbursement. Most do and limit the number of Medicare patients in their practice.

It areas with substantial senior populations, the only way to see a Primary Care physician is often to wait for someone to die or join a Concierge Program, whereby the senior pays an annual out of pocket fee. The rest make do with Nurse Practitioners and / or Physician Assistants or travel.

Other specialties increasingly rely on Physician Assistants, too, including Oncology treatment.
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Old 10-10-2019, 08:53 AM
 
Location: Foot of the Rockies
90,297 posts, read 120,913,054 times
Reputation: 35920
Quote:
Originally Posted by middle-aged mom View Post
Congress determines Medicare reimbursement rates.

No MD/ medical practice has to accept Medicare reimbursement. Most do and limit the number of Medicare patients in their practice.

It areas with substantial senior populations, the only way to see a Primary Care physician is often to wait for someone to die or join a Concierge Program, whereby the senior pays an annual out of pocket fee. The rest make do with Nurse Practitioners and / or Physician Assistants or travel.

Other specialties increasingly rely on Physician Assistants, too, including Oncology treatment.
Do you have any documentation for that? And I take issue re: "make do" with NPs and PAs, particularly NPs.
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Old 10-10-2019, 09:06 AM
 
Location: OH->FL->NJ
17,020 posts, read 12,621,664 times
Reputation: 8931
Because doctors in Canada are paid minimum wage?

This is all tilting at windmills until someone looks at the cost end. Given that big pharma and big hospitals OWN congress, the probability of any of this happening is lotto like.
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Old 10-10-2019, 09:15 AM
 
Location: Foot of the Rockies
90,297 posts, read 120,913,054 times
Reputation: 35920
Quote:
Originally Posted by ottomobeale View Post
Because doctors in Canada are paid minimum wage?

This is all tilting at windmills until someone looks at the cost end. Given that big pharma and big hospitals OWN congress, the probability of any of this happening is lotto like.
Are you aware that about 80% of non-federal hospitals in the US are non-profit?
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Old 10-10-2019, 09:17 AM
 
446 posts, read 167,823 times
Reputation: 460
Why would we want government running the health care system? The reason why we already have such poor choices and is so damn expensive is because of government meddling.



Without it, we could already have the "Amazon of healthcare".


Imagine if the government took over telecommunications? We'd be all on rotary phones. Kiss those smart phones goodbye, you'd never even know that the technology could've existed.


Summiarly, there are healthcare solutions that you and I cannot dream of, that we could have right now were it not for government
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Old 10-10-2019, 09:20 AM
 
Location: OH->FL->NJ
17,020 posts, read 12,621,664 times
Reputation: 8931
Quote:
Originally Posted by Katarina Witt View Post
Are you aware that about 80% of non-federal hospitals in the US are non-profit?
Non profit does not mean it is a volunteer organization doing charity.

Overall idea from a biased source.

https://thehealthcareblog.com/blog/2...ofit-hospital/
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Old 10-10-2019, 11:48 AM
 
Location: Foot of the Rockies
90,297 posts, read 120,913,054 times
Reputation: 35920
Quote:
Originally Posted by Katarina Witt View Post
Are you aware that about 80% of non-federal hospitals in the US are non-profit?
I should add, or government (local, county, state) run.
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