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Do you know of one person who wants to drop Medicare and buy a private health insurance policy instead?
Those of us that are able DO buy private insurance.
It's necessary to cover all the costs that Medicare doesn't.
Instead of dealing with one payor our providers have to bill two.
How's that for efficiency and cost cutting?
As insureds, we have to deal with 3.
Medicare is worse than private insurance. Cite please. The fed has no profit incentive for denying coverage...private insurance does.
Proof?
How about the fact that there is an entire department/staff in this hospital pretty much devoted to medicare compliance, billing, and case management?
How about the fact that CMS regulations with admissions, orders, and charting are so particular that we have to get periodic training?
Particular order sets (some of which don't even comply with studies that prove they're useless)?
How about the fact that case management extends their hours more and more to make sure physicians and the hospital are wording everything totally correctly so that medicare won't come back and deny payment for the entire visit because we checked ONE BOX wrong?
It's a total game with medicare...
I rarely have any issues with insurance companies. In fact, everyone is usually, "Oh, thank god!" when it's a private insurance company. Everything flows much more smoothly.
If you'd like, I can put you in touch with our case management team. They have been reading these threads over my shoulder at work and laughing hysterically at how clueless all you people are about government healthcare.
How about the fact that there is an entire department/staff in this hospital pretty much devoted to medicare compliance, billing, and case management?
How about the fact that CMS regulations with admissions, orders, and charting are so particular that we have to get periodic training?
Particular order sets (some of which don't even comply with studies that prove they're useless)?
How about the fact that case management extends their hours more and more to make sure physicians and the hospital are wording everything totally correctly so that medicare won't come back and deny payment for the entire visit because we checked ONE BOX wrong?
It's a total game with medicare...
I rarely have any issues with insurance companies. In fact, everyone is usually, "Oh, thank god!" when it's a private insurance company. Everything flows much more smoothly.
If you'd like, I can put you in touch with our case management team. They have been reading these threads over my shoulder at work and laughing hysterically at how clueless all you people are about government healthcare.
You said that medicare denies more claims than insurance companies. That is the proof that I was looking for, which you still have not provided.
We NEED to continue to support the current healthcare system so that the worthy rich in this country, like United Healthcare's CEO, can continue to give themselves billion dollar bonuses.
So a guy helps found a company, grows it to billions in sales, and when he sells some of it he should be crucified? I kinda thought that was the American dream - help me out here.
Do you know of one person who wants to drop Medicare and buy a private health insurance policy instead?
Yes. Both my parents would much rather pay their old premiums and keep the health insurance they had before. As it is, they lost their doctor of 20 years, they still have mondo copays, and they've had to buy supplemental insurance.
This is hilarious. People are all over insurance companies for denying benefits and claims.
Do you know who is the biggest troublemaker when it comes to denying claims, finding loopholes not to pay, making sure your Ts are crossed and your Is dotted, etc?
MEDICARE.
I am a home health marketer and have seen case managers have to go through hoops to find an agency that will accept private insurance. those insur companies basically expect a home health co to do their services for free or nominal cost. Medicare does seem easier to deal with from my perspective and ultimately pays better
Prior to that, I sold Medicare Advantage policies for a major insurance company. There IS excessive waste for mid management ppl who do nothing to add to the quality of healthcare. several years ago, the American Family Assoc released findings that as much as 19% of the insurance cos' revenues go towards marketing, not providing care to its members.
I could not find that article, but here is another one that I did find:
So a guy helps found a company, grows it to billions in sales, and when he sells some of it he should be crucified? I kinda thought that was the American dream - help me out here.
He didn't 'found' the company, and he increased profits from squeezing hospitals, doctors and denying health claims - I guess people like you approve of that tactic in order to gain a 1.6 billion bonus - by the way he resignd in the wake of the scandal - guess he really believed in his own innocence.
Here is a problem with Medicare: Seniors are finding fewer and fewer choices for doctors - PCP's and Specialists and other providers.
Seems that because of the reduction of reimbursements paid out by Medicare - more and more doctors are no longer taking medicare reimbursements - causing patients to go elsewhere.
Many doctors cannot afford to take what Medicare gives them
So are these senior citizens dropping their Medicare and buying a private insurance policy?
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