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Old 06-14-2015, 10:13 AM
 
69,368 posts, read 64,118,301 times
Reputation: 9383

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Quote:
Originally Posted by Weichert View Post
Sorry, ER costs more than a regular doctor appointment.
Because procedures performed are different. One day you'll understand this.
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Old 06-14-2015, 10:18 AM
 
69,368 posts, read 64,118,301 times
Reputation: 9383
Quote:
Originally Posted by 2sleepy View Post
It's pretty easy to tell if you have received treatment at both types of facilities, or I suppose you could look up the CMS reimbursement rates to make the comparisons you don't have to pay to access those
yep.. its right here.. thats the PAYMENT schedule.

https://www.cms.gov/Medicare/Medicar...nfo/index.html

Do you guys actually look at the vastly different billed amounts and actually think thats whats getting paid?
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Old 06-14-2015, 10:20 AM
 
69,368 posts, read 64,118,301 times
Reputation: 9383
Quote:
Originally Posted by BobNJ1960 View Post
Employee's portion = skin in game.

Key is always make it a %, not a fixed $ amount.
yes, skin in the game makes one concerned about what the costs are.

Government programs, encourage a lack of concern, since the tab is picked up by someone else.
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Old 06-14-2015, 10:32 AM
 
Location: the very edge of the continent
89,029 posts, read 44,840,107 times
Reputation: 13715
Quote:
Originally Posted by pghquest View Post
yes, skin in the game makes one concerned about what the costs are.

Government programs, encourage a lack of concern, since the tab is picked up by someone else.
And we're seeing the consequences of that, in much more than just health care costs...

1) Nearly half of all U.S. births are paid for by Medicaid (medical care public assistance program for the poor).
Medicaid Pays For Nearly Half of All Births in the United States | publichealth.gwu.edu

2) Those who receive public assistance have a birth rate 3 times higher than those who don't. Stats and citations, here:
//www.city-data.com/forum/32045595-post217.

Who thinks an exponentially increasing public assistance-dependent class is sustainable? What's the plan for paying to support the exponentially growing perpetually needy class? What happens when paying to support their ever-increasing numbers becomes so burdensome that it strains available resources? Hmmm...?
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Old 06-14-2015, 10:49 AM
 
Location: Living rent free in your head
42,850 posts, read 26,285,621 times
Reputation: 34059
Quote:
Originally Posted by pghquest View Post
Because procedures performed are different. One day you'll understand this.
Are you claiming there is no increased cost of the same procedure performed in a doctor's office vs as an outpatient in a critical care facility?

If so, then explain this As doctors flock to hospitals, bills spike for patients | The Charlotte Observer The Charlotte Observer

"For many routine services, insurers pay hospitals more than independent doctors. Under Medicare rules, hospitals are allowed to collect more than doctors – and that means the out-of-pocket share for Medicare patients also is larger....Hospitals get about 80 percent more Medicare revenue than independent doctors for many routine services, he said. But the additional expenses for a hospital don’t justify that kind of payment difference, he said."
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Old 06-14-2015, 10:53 AM
 
Location: DFW
40,951 posts, read 49,198,692 times
Reputation: 55008
Quote:
Originally Posted by eastkc View Post
Ok conservatives tell us how much your premiums were in 2013 and how much they are this year and how much you think they will be if the ACA is turned over. .
My very good policy with a $4000 deductible was about $375 a month when Obamacare went into affect.
There were immediate increases due to the new type of coverage I did not need or want.
Then there were fees and charges that went into affect the last 2 Jan 1's.

So my $375 policy now costs me $680 2.5 years later. That's right at a 80% price increase. Previously I would see a 3-8% year increase prior to Ocare.
Also my deductible has gone up to $5,000 just to hold it at this level.

My ex-wife who is a cancer survivor had a TX state pool policy through BCBS that ran about $650 a month.
With the ACA those state pools were disbanded and now she pays $850 with a much higher deductible.

At least in my world the ACA Tax has increased the cost of Insurance tremendously.
But I guess I'm one of the working fools that get's to pay for others subsidies.

The damage is done. I don't expect it to go back down but it's been such a bad Tax that I'm all for killing the monster.
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Old 06-14-2015, 10:57 AM
 
34,279 posts, read 19,375,883 times
Reputation: 17261
Quote:
Originally Posted by Rakin View Post
My very good policy with a $4000 deductible was about $375 a month when Obamacare went into affect.
There were immediate increases due to the new type of coverage I did not need or want.
Then there were fees and charges that went into affect the last 2 Jan 1's.

So my $375 policy now costs me $680 2.5 years later. That's right at a 80% price increase. Previously I would see a 3-8% year increase prior to Ocare.
Also my deductible has gone up to $5,000 just to hold it at this level.

My ex-wife who is a cancer survivor had a TX state pool policy through BCBS that ran about $650 a month.
With the ACA those state pools were disbanded and now she pays $850 with a much higher deductible.

At least in my world the ACA Tax has increased the cost of Insurance tremendously.
But I guess I'm one of the working fools that get's to pay for others subsidies.

The damage is done. I don't expect it to go back down but it's been such a bad Tax that I'm all for killing the monster.
Please. a 3-8% increase before Obamacare? You're just pulling stuff out...and thats a great example of it.
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Old 06-14-2015, 11:05 AM
 
Location: Buckeye, AZ
38,936 posts, read 23,903,106 times
Reputation: 14125
Quote:
Originally Posted by InformedConsent View Post
And we're seeing the consequences of that, in much more than just health care costs...

1) Nearly half of all U.S. births are paid for by Medicaid (medical care public assistance program for the poor).
Medicaid Pays For Nearly Half of All Births in the United States | publichealth.gwu.edu

2) Those who receive public assistance have a birth rate 3 times higher than those who don't. Stats and citations, here:
//www.city-data.com/forum/32045595-post217.

Who thinks an exponentially increasing public assistance-dependent class is sustainable? What's the plan for paying to support the exponentially growing perpetually needy class? What happens when paying to support their ever-increasing numbers becomes so burdensome that it strains available resources? Hmmm...?
Part of that is socio-economically explained. Lower income people are me likely to get pregnant younger while higher income typically wait until they are in their career if they do they do decide have kids. Another thing is many on the right hate abortion which is an option fit lower income. They can't because of cuts to planned parenthood and other low cost abortion options as well as laws limiting abortions except for rape, invest, well being of the mother, etc. Note, even adoption would tax Medicaid too.
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Old 06-14-2015, 11:08 AM
 
Location: Tip of the Sphere. Just the tip.
4,540 posts, read 2,769,559 times
Reputation: 5277
It's.gonna be lose/lose for the Republicans when this decision comes out.

If the SCOTUS rules against Obamacare, the backlash against Republicans is gonna be BRUTAL. I kinda hope the court rules that way just so I can watch the show.

If the SCOTUS rules in favor of Obamacare, then Repubs will have lost once again. Nothing succeeds like success, and Obamacare has a good record of that so far.


The WORST thing the court could do is make some kind of mixed ruling. Not an outright rejection... but just enough of an opening to allow further sabotage by the Republicans. Because if there's one thing Republicans can really get behind and get something done on... it's taking money away from ordinary people so that it can be redistributed to billionaires.
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Old 06-14-2015, 11:12 AM
 
Location: the very edge of the continent
89,029 posts, read 44,840,107 times
Reputation: 13715
Quote:
Originally Posted by mkpunk View Post
Part of that is socio-economically explained. Lower income people are me likely to get pregnant
They can't afford to support and raise a child, so why? They already get free (Medicaid) or low-cost (county health department or slding fee clinics) birth control.
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