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Old 03-10-2012, 08:49 PM
 
Location: San Antonio Texas
11,431 posts, read 17,359,602 times
Reputation: 5224

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Quote:
Originally Posted by RCCCB View Post
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...
Yes. Exactly. Too many middle men. I sell Medicare Advantage plans and am only making $200 per contract per year up to 6 year renewal, only $166 on Humana, one of the stingiest. The sales management and upper levels of management syphon off a lot more.
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Old 03-10-2012, 11:33 PM
 
Location: Foot of the Rockies
90,377 posts, read 109,296,744 times
Reputation: 35920
Quote:
Originally Posted by sol11 View Post
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.
'Scuse me for the typo! Forty lashes with a wet noodle, at least!

Some docs dropped Medicare patients a long time ago. Do they get factored in? I read the whole thing. A little less snark might make your posts more tolerable.
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Old 03-10-2012, 11:45 PM
 
Location: Southcentral Kansas
44,884 posts, read 30,133,919 times
Reputation: 4269
Quote:
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.
What do you know about how Medicare has been paying the past 14 years and how much what they will pay has gone down this year? I know quite a bit since I have been getting their statements about what they paid for me and how much lower it is now than it was a year ago. I can see why doctors don't want to play the game until such time as all doctors get paid the same amount, no matter what they do. I can see many doctors taking their Hyppocratic Oath along with them when they retire and will agree with them completely.
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Old 03-10-2012, 11:49 PM
 
Location: Southcentral Kansas
44,884 posts, read 30,133,919 times
Reputation: 4269
Quote:
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, Kat, the cut did take place. I recently got my first quarterly statement about what was paid and for the same services I noticed drops that make me fearful that I might outlive some of the doctors who have treated me since my wife's insurance dropped me into Medicare. I am sorry to tell you this since I know you are a nurse but I saw what happened on my own statement and talked with my doctor about it all. She agreed with me so I will take her word over yours.
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Old 03-10-2012, 11:55 PM
 
Location: Southcentral Kansas
44,884 posts, read 30,133,919 times
Reputation: 4269
Quote:
Originally Posted by texdav View Post
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.
My state representative told us today at our Republican caucus that the legislature had been discussing what Medicaid would do to our state finances if something isn't done. As of when all the kicking around gets finished in 2014 Medicaid will cost the state about 45% of the present budget. At that time with education getting 60% some severe cuts will have to come about since 105% is not workable other than with the Congress of the United States. Huge cuts will have to come unless something is done about Medicaid and we know nothing is planned by our federal government.

Obama may not raise our taxes but he is forcing the states to do so with his signature legislation that just ain't going to work.
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Old 03-11-2012, 08:27 AM
 
2,930 posts, read 2,036,968 times
Reputation: 1023
Quote:
Originally Posted by Katiana View Post
'Scuse me for the typo! Forty lashes with a wet noodle, at least!

Some docs dropped Medicare patients a long time ago. Do they get factored in? I read the whole thing. A little less snark might make your posts more tolerable.
Had you originally read the link you would have known that in Texas alone physicians have dropped Medicare for several years running,.....and many more have limited Medicare patients to a small portion of their business. Your comments proved you hadn't read the link.

We live in a small town and there are several doctors who do not take new Medicare patients, and a couple who have gone to a conccierge patient service where they charge a yearly fee to those who want to see them as patients. Say what you want, but the fact that Obamacare removes half a billion in Medicare funding, will do nothing but make the problem worse. And, if reimbursement is tied to Medicare fee schedules, you will see fewer doctors, more government control, long waiting periods, and less service than what we get now.

Just what the liberals want.
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