So much for MA having great healthcare (Boston, Newton: schools, tax)

[massnative71]

Originally Posted by matrix5k

I didn't say you should move, I asked why don't you move if you hate it so much. You really like to twist words around. If you don't want to move then deal with it and keep complaining everyday on city data.

You hinted that I should move (when neither I nor any other poster suggested that I hate it here). You seem to have a problem with involved citizens.

[matrix5k]

Originally Posted by massnative71

You hinted that I should move (when neither I nor any other poster suggested that I hate it here). You seem to have a problem with involved citizens.

There you go making stuff up again.

[GeoffD]

Originally Posted by robr2

This. Insurers make agreements with health care providers and pay only the agreed to rate.

Another issue causing full beds is the lack of available beds in rehab centers. They can’t hire people so they can’t offer care. We are starting to see care at home where the hospital sets up monitoring equipment and schedule visits to get people home sooner.

https://www.massgeneralbrigham.org/e...thcare-at-home

This is only going to get worse as the broke aging boomers land in skilled nursing facilities on Medicaid. Medicare only covers 3 months of rehab after being discharged from the hospital. The median boomer quickly runs out of money and flips to Medicaid. Medicaid doesn’t reimburse well enough to properly staff skilled nursing facilities so nursing homes that don’t have a high proportion of private pay are teetering. If there are no nursing home beds, the case manager at the hospital can’t discharge patients. Hospitals also lose money on Medicaid patients so the community hospitals that have a high proportion of Medicaid patients are collapsing. Western Massachusetts certainly has the problem.

But blame illegals. It must be their fault. The endless dog whistle in this forum continues.

[msRB311]

Matrix has absolutely told me to move on several occasions

The bottom line is that MA hospitals are filled with people from other countries and that is nothing new. You're right that it is going to get worse and the migrant situation isn't helping.

I see people here brag all the time how happy they are to live in the Boston area because of all those great hospitals. The hospitals could give a sh*t about anyone living in the Boston area. There's always been long waits but now its getting much worse.

What exactly are the benefits of living in MA again ? What makes it special to be from MA? Anything anymore ? It's basically become a state that caters to anything that moves.

[GeoffD]

My dog whistle detector needle just pegged on 11.

[matrix5k]

Originally Posted by msRB311

Matrix has absolutely told me to move on several occasions

The bottom line is that MA hospitals are filled with people from other countries and that is nothing new. You're right that it is going to get worse and the migrant situation isn't helping.

I see people here brag all the time how happy they are to live in the Boston area because of all those great hospitals. The hospitals could give a sh*t about anyone living in the Boston area. There's always been long waits but now its getting much worse.

What exactly are the benefits of living in MA again ? What makes it special to be from MA? Anything anymore ? It's basically become a state that caters to anything that moves.

If you don't like it here then you *can* move.

[newenglandgal123]

Originally Posted by GeoffD

This is only going to get worse as the broke aging boomers land in skilled nursing facilities on Medicaid. Medicare only covers 3 months of rehab after being discharged from the hospital. The median boomer quickly runs out of money and flips to Medicaid. Medicaid doesn’t reimburse well enough to properly staff skilled nursing facilities so nursing homes that don’t have a high proportion of private pay are teetering. If there are no nursing home beds, the case manager at the hospital can’t discharge patients. Hospitals also lose money on Medicaid patients so the community hospitals that have a high proportion of Medicaid patients are collapsing. Western Massachusetts certainly has the problem.

But blame illegals. It must be their fault. The endless dog whistle in this forum continues.

They need to bring back more visiting docs/nurses so people can age in place in their homes. It'd be a lot cheaper vs what they are expected to pay per month to live in a care facility which seems to cost around $13K/month on average and upwards for even higher end places.

[htfdcolt]

Originally Posted by msRB311

Matrix has absolutely told me to move on several occasions

The bottom line is that MA hospitals are filled with people from other countries and that is nothing new. You're right that it is going to get worse and the migrant situation isn't helping.

I see people here brag all the time how happy they are to live in the Boston area because of all those great hospitals. The hospitals could give a sh*t about anyone living in the Boston area. There's always been long waits but now its getting much worse.

What exactly are the benefits of living in MA again ? What makes it special to be from MA? Anything anymore ? It's basically become a state that caters to anything that moves.

This has nothing to do with migrants. You really think they're the ones availing themselves of white glove medical care at MGH?

ALL world class medical institutions attract patients from all over the world. Just because you see foreign-looking folks in our waiting rooms, you assume they're not here legally?

[john3232]

Originally Posted by robr2

MGB, Sloan-Kettering, Mayo, MD Anderson, etc. all court cash paying patients from around the world. They have offices to develop relationships with care providers in monied countries to refer patients to them. They take up entire floors and pay for everything without worrying about copayments or deductibles.

Google Phillips House at MGH or concierge services Mayo Clinic.

When I was living and working in Japan, I had an American co-worker that was married to a Chinese woman. The woman's family, if I recalled supplied the 100-yen shops (similar to $1 stores in the US.) across Japan with merchandise.

When my co-worker's brother-in-law (living in China) needed surgery my co-worker contacted several major hospitals in the US. The cost for treatment was 250k. A downpayment was wired and the brother-in-law left for for the Sates within two weeks.

[robr2]

Originally Posted by newenglandgal123

That still supports the point I was making...hospitals are trying to gauge...once they get called out by the insurers...it's only then that they'll change the bill!

Insurers and care providers agree in their contracts how much hospitals are reimbursed for each procedure. Beth Israel Laney and BCBS isn’t negotiating every bill. A hospital can bill whatever they want but they only get paid the agreed amount. That includes how many days they are paid for per procedure. That’s why health at home is booming.

If you show up with an insurance that the provider doesn’t contract with, then it comes down to negotiation. When I went to an ER in Las Vegas, they billed my insurer full list price. My insurer sent them what they would pay for the service here which was probably more than what local insurers paid. They went back and forth for a few months and finally accepted the initial amount.