California liberals want to set commercial health care costs which could cause 175,000 healthcare layoffs. (Sacramento, insurance)

[lovecrowds]

Bill won't control health costs in California | The Sacramento Bee

https://www.dailyrepublic.com/opinio...ty-not-a-cure/

I guess commercial health insurance rates have been escalating so fast thanks to extremely low Medi-Cal reimbursement rates and nurses unions that now the California Democrats are proposing to cap commercial insurance rates.

The main issue is that California has 12.1 million people on Medicaid and only reimburses at 41 cents for each dollar Medicare pays for primary coverage so healthcare providers have to negotiate very high rates with commercial insurance companies to pay for the unionized nurses payrolls and keep the expensive facilities open.

https://www.kff.org/health-reform/st...2:%22asc%22%7D

Projections are that they would have to cut 175,000 positions which would leave the hospitals short-staffed.

The main problem is that California has so many people on Medi-Cal that reimburses primary care doctors only 41 cents for each dollar they get from a Medicare patient.

North Dakota is so rich and has so few people on Medicaid that it can afford to reimburse doctors who see Medicaid patients at 100 cents for each dollar they get from a Medicare patient.

https://www.kff.org/medicaid/state-i...:%22desc%22%7D

[mightleavenyc]

North Dakota seems to vastly outperform California on most metrics these days. They know how to properly manage a budget while California keeps overextending itself thinking Bernie Madoff had good ideas.

[lovecrowds]

Originally Posted by mightleavenyc

North Dakota seems to vastly outperform California on most metrics these days. They know how to properly manage a budget while California keeps overextending itself thinking Bernie Madoff had good ideas.

North Dakota reimbursement primary care providers on average at 100% Medicare rates yet on the $54,000th dollar of taxable income has an income rate of 2.04%

California reimbursement rate on Medicaid is 41% of Medicare fees and they have an income/SDI tax rate of 10.3% on the $54,000th dollar of income. 9.3% state income tax plus 1% tax mainly to pay for maternity leave.

Nearly 5 times the amount of income tax for the $54,000th of income but yet they can only muster up 41% of the reimbursement rate of North Dakota.

https://www.kff.org/medicaid/state-i...:%22desc%22%7D

https://files.taxfoundation.org/2018...on-FF576-1.pdf

Contribution Rates and Benefit Amounts