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Old 12-30-2013, 10:30 AM
 
Location: Great State of Texas
86,052 posts, read 84,509,263 times
Reputation: 27720

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Quote:
Originally Posted by mohawkx View Post

If doctors know they can be reimbursed at the federal medicare level, they will have a lucrative practice and they will flood the market with PCP and familiy physicians. Medicare pays cost plus a percentage of profit.

But as usual, they will steamroll over this post as well, for their agenda is to kill Obama care at whatever cost to the nation and it's people.
And they will also feel the cuts.
24% cut on 1/1 just pushed off a few more months.
24% cut to medicare means a 24% cut to medicaid as well.
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Old 12-30-2013, 10:33 AM
 
18,802 posts, read 8,477,217 times
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Quote:
Originally Posted by mohawkx View Post
Throughout this thread, from the beginning, I have linked FAQ sheets and government sites where I disprove all the balderdash being disseminated by the foes of Obamacare and they continue to just steamroll over them.

The ACA websites are working much better now so the rabid right have pivoted towards a new angle of attack. That is an attempt to sow fear and paranoia that there will not be enough doctors and the doctors that are there will get screwed by Obamacare. All of which is patently false.

I will restate for the umpteenth time, the only doctors getting screwed for treating the truly poor through Medicaid are those that have their practice in republican dominated states that refused to expand their Medicaid programs in accordance with the ACA. They reimburse doctors who treat Medicaid patients below the rate of Medicare. All the rest of the states reimburse doctors for Medicaid billing at the federal medicare level as of January 1st. 2013 through the ACA mandate.

If doctors know they can be reimbursed at the federal medicare level, they will have a lucrative practice and they will flood the market with PCP and familiy physicians. Medicare pays cost plus a percentage of profit.

But as usual, they will steamroll over this post as well, for their agenda is to kill Obama care at whatever cost to the nation and it's people.
This may well be true for primary care, but I cannot speak for specialists or surgeons.
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Old 12-30-2013, 10:35 AM
 
18,802 posts, read 8,477,217 times
Reputation: 4130
Quote:
Originally Posted by HappyTexan View Post
And they will also feel the cuts.
24% cut on 1/1 just pushed off a few more months.
24% cut to medicare means a 24% cut to medicaid as well.
There will be no such cuts for primary care.
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Old 12-30-2013, 10:36 AM
 
Location: Arizona
13,778 posts, read 9,666,314 times
Reputation: 7485
Quote:
Originally Posted by HappyTexan View Post
And they will also feel the cuts.
24% cut on 1/1 just pushed off a few more months.
24% cut to medicare means a 24% cut to medicaid as well.
Slipped in a ringer did ya?

Answer me this?? How long have those cuts to Medicare been sitting in congress? Try years, and years.
How many times have those cuts been delayed by a bipartisan vote of congress? Try well over 10 legislative sessions.
What are the chances that those cuts will take effect this time? Slim to none and Slim just left town.

Only way those cuts have a chance of passing congress is if the Republicans pile on and demand those cuts take place. 2014 elections coming up?????

I don't think so Tex.
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Old 12-30-2013, 10:40 AM
 
12,638 posts, read 8,957,870 times
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Quote:
Originally Posted by Magritte25 View Post
Which is why we need healthcare reform.
If the liberals were serious about healthcare reform, they would have included tort reform in the Affordable Care Act.

They are serious about redistributing wealth and/or making more people dependent on government assistance. They couldn't care less if you get quality or any healthcare.
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Old 12-30-2013, 10:42 AM
 
Location: Great State of Texas
86,052 posts, read 84,509,263 times
Reputation: 27720
Quote:
Originally Posted by mohawkx View Post
Slipped in a ringer did ya?

Answer me this?? How long have those cuts to Medicare been sitting in congress? Try years, and years.
How many times have those cuts been delayed by a bipartisan vote of congress? Try well over 10 legislative sessions.
What are the chances that those cuts will take effect this time? Slim to none and Slim just left town.

Only way those cuts have a chance of passing congress is if the Republicans pile on and demand those cuts take place. 2014 elections coming up?????

I don't think so Tex.
There are cuts happening in medicare on 1/1
Surely you know this right ?
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Old 12-30-2013, 10:43 AM
 
Location: Arizona
13,778 posts, read 9,666,314 times
Reputation: 7485
Quote:
Originally Posted by Hoonose View Post
This may well be true for primary care, but I cannot speak for specialists or surgeons.
That part is true. The boosting of Medicaid reimbursement payments through the ACA will mainly apply to PCPs and Family practice medical providers.

Here is a the section that answers that question. I have posted a link to the gov. FAQ for doctors that explains the application of reimbursement to doctors and how it applies.

The statute specifies that higher payment applies to primary care services delivered by a
physician with a specialty designation of family medicine, general internal medicine, or pediatric
medicine. The regulation specifies that specialists and subspecialists within those designations
as recognized by the American Board of Medical Specialties (ABMS) the American Osteopathic
Association (AOA) or the American Board of Physician Specialties (ABPS) also qualify for the
enhanced payment. Under the regulation , “general internal medicine” encompasses internal
medicine and all subspecialties recognized by the ABMS, ABPS and AOA. In order to be
eligible for higher payment :


http://www.medicaid.gov/AffordableCa...s-for-PCPs.pdf
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Old 12-30-2013, 10:46 AM
 
Location: Arizona
13,778 posts, read 9,666,314 times
Reputation: 7485
Quote:
Originally Posted by HappyTexan View Post
There are cuts happening in medicare on 1/1
Surely you know this right ?
How so? and what actually are those cuts? Certainly not to reimbursement payments to Doctors.
I do know that Medicare is cutting some payments to insurance company's Medicare Advantage plans.
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Old 12-30-2013, 10:47 AM
 
Location: Long Island
32,816 posts, read 19,492,759 times
Reputation: 9618
Quote:
Originally Posted by mohawkx View Post
If doctors know they can be reimbursed at the federal medicare level, they will have a lucrative practice and they will flood the market with PCP and familiy physicians. Medicare pays cost plus a percentage of profit.

.
uhm the medicare reimbursement rates are way under where the cost of living is

sorry but medicare sucks..and the payments the doctors get are not enough

Quote:
Some doctors say Medicare's reimbursement rates—as low as $58 for a 15-minute office visit—force them to see 30 or more patients a day to make ends meet. "Family physicians have been fed up for a long time and it's getting worse," said Jeffrey Cain, president of the American Academy of Family Physicians. By disengaging with Medicare and other third-party payers, he says doctors can practice based on what patients need, not what insurers will pay.
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Old 12-30-2013, 10:52 AM
 
Location: Great State of Texas
86,052 posts, read 84,509,263 times
Reputation: 27720
Quote:
Originally Posted by mohawkx View Post
How so? and what actually are those cuts? Certainly not to reimbursement payments to Doctors.
I do know that Medicare is cutting some payments to insurance company's Medicare Advantage plans.

Is that all you care about..reimbursements to doctors ?

There's more to health CARE than doctors.

Some test reimbursements are getting cut 50% and home health care is getting cut 14%.

Obamacare cut medicare by $500 billion.
So the cuts will happen.
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