The Bomb Buried in Obamacare Goes Off Today (wage, Reagan, cocaine)

[Versatile]

Originally Posted by BlueWillowPlate

That would be the provision of the law, called the medical loss ratio, that requires health insurance companies to spend 80% of the consumers’ premium dollars they collect—85% for large group insurers—on actual medical care rather than overhead, marketing expenses and profit.

Sooo...what's going to happen?

I am not going to pretend to be an expert on this topic.
I do know that my husband and I are now paying twice as much for health insurance, while receiving far less coverage than we once had.

Maybe the same careful scrutiny given to the fine print in my premiums will also be given to those who make my healthcare decisions for me.

Mine went up 40$ but according to the Health Care Act i am getting a whole slew of service free that i didn't before.

[kevinm]

Originally Posted by subsound

That;s horrible, an insurance company must spend a majority of its money on medical care instead of bonuses for execs?

We should get rid of that right away, let them screw patients for pay.

Insurance companies pay CLAIMS. They aren't in the business of providing medical care. The role of the insurance company is to scrutinize all claims and ferret out fraud and abuse to protect the shareholders.

[sol11]

Originally Posted by subsound

Really? Prove it.

Of the eight insurers listed, Medicare is most likely to reject a claim, sending away 6.85% of requests. This is more than any private insurer and double that of the private insurers’ average!

» AMA Endorses Largest Denier of Health Care Claims - Big Government

Geez,...now what?

Make the government cover more claims,....or check the bureaucracy that administers Medicare to see that it is performing like the private sector?

[EinsteinsGhost]

Originally Posted by kevinm

Insurance companies pay CLAIMS. They aren't in the business of providing medical care. The role of the insurance company is to scrutinize all claims and ferret out fraud and abuse to protect the shareholders.

So, insurance companies aren't about the patients but only themselves. Cool.

[workingclasshero]

Originally Posted by EinsteinsGhost

So, insurance companies aren't about the patients but only themselves. Cool.

never were about '''patients'''..they have laways been about risk managment


only liberal idiots think that insurance means care

[EinsteinsGhost]

Originally Posted by workingclasshero

never were about '''patients'''..they have laways been about risk managment

only liberal idiots think that insurance means care

For someone who preaches cash for treatment and there should be no such thing as insurance companise, you sure love your insurance companies. Heck to the extent that you see them as saviors from evil health care providers.

[workingclasshero]

Originally Posted by EinsteinsGhost

For someone who preaches cash for treatment and there should be no such thing as insurance companise, you sure love your insurance companies. Heck to the extent that you see them as saviors from evil health care providers.

no I dont love insurance companies..so apparently you have zero reading comprehension

I say ELIMINATE them (both private and GOVERNMENT) all together...insurance (someone else paying for your bill)(meaning both private and GOVERNMENT) is what has caused prices to skyrocket

its your body, your health, your bill....pay your own darn bill

[subsound]

Originally Posted by sol11

Of the eight insurers listed, Medicare is most likely to reject a claim, sending away 6.85% of requests. This is more than any private insurer and double that of the private insurers’ average!

» AMA Endorses Largest Denier of Health Care Claims - Big Government

Geez,...now what?

Make the government cover more claims,....or check the bureaucracy that administers Medicare to see that it is performing like the private sector?

Did you read the file of the reasons? This isn't like denying life saving treatments

27.8% of those were from not enough information provided (meaning a second claim needed to be filed).
20.9% were non covered elective services.
13.8% were bills submitted to the wrong insurer.

http://www.ama-assn.org/ama1/pub/upl...reportcard.pdf

I guess research is scorned when you can just get angry about something.

[EinsteinsGhost]

Originally Posted by workingclasshero

no I dont love insurance companies..so apparently you have zero reading comprehension

I say ELIMINATE them (both private and GOVERNMENT) all together...insurance (someone else paying for your bill)(meaning both private and GOVERNMENT) is what has caused prices to skyrocket

its your body, your health, your bill....pay your own darn bill

And pretty sad to see you arguing with this liberal "idiot" (as you think applies to liberals). Get a clue.

[Pretzelogik]

Originally Posted by BlueWillowPlate

That would be the provision of the law, called the medical loss ratio, that requires health insurance companies to spend 80% of the consumers’ premium dollars they collect—85% for large group insurers—on actual medical care rather than overhead, marketing expenses and profit.

Sooo...what's going to happen?

I am not going to pretend to be an expert on this topic.
I do know that my husband and I are now paying twice as much for health insurance, while receiving far less coverage than we once had.

Maybe the same careful scrutiny given to the fine print in my premiums will also be given to those who make my healthcare decisions for me.

As Queen Pelosi said, "We need to pass this law to find out what's in it"...lights on but nobody home.