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Okay, apparently you don't know jack about 3rd party reimbursement rates in the medical field. You may want to research that before emphatically denying it.
Private insurance is NOT going away.
If you have private insurance now you will have private insurance THEN.
The government has NOTHING to do with the rates that private insurance pays.
That will NOT change.
Ken
Unless you're one of the 8 million (by CBO estimates) who will lose their insurance as companies drop them in favor of paying the cheaper fines. Some will pick up private insurance...some will get Medicare/Medicaid.
According to the CBO, it reduces deficits overall because the reform bill does NOT include the 'Dr. fix'. In other words, very soon, doctors will be reimbursed 21% less for the Medicare patients.
So one of two things will happen...21% less reimbursement means more and more docs not accepting Medicare patients. Or..
They will go forward with the Dr. Fix (as Pelosi claimed today), and the CBO score goes out the window, and this reform is in the red immediately.
Take your pick..those are the options. Less access or higher costs.
Okay, apparently you don't know jack about 3rd party reimbursement rates in the medical field. You may want to research that before emphatically denying it.
Medicare payment doesn't SET the prices. Medicare prices are driven by the RBRVS calculated value - NOT the other way around, so - even in cases where the private insurance rates are set at say 110% of the Medicare allowable, it's STILL not Medicare setting the prices - it's the RBRVS since the RBRVS is the original basis of the payment rates.
You are trying to paint the picture of the cart pulling the horse.
Medicare payment doesn't SET the prices. Medicare prices are driven by the RBRVS calculated value - NOT the other way around, so - even in cases where the private insurance rates are set at say 110% of the Medicare allowable, it's STILL not Medicare setting the prices - it's the RBRVS since the RBRVS is the original basis of the payment rates.
You are trying to paint the picture of the cart pulling the horse.
Ken
You are wrong. The vast majority of major payers base their reimbursment rates on Medicare rates.
Pelsoi has pormised them 200+ billion dollar doctor reembursment fix which blows the CBO estimate out fo the water.Butt hat is a promise after apssing. peopel I tynik are going to be surprised what is bring promise as bribes in the end.
Medicare payment doesn't SET the prices. Medicare prices are driven by the RBRVS calculated value - NOT the other way around, so - even in cases where the private insurance rates are set at say 110% of the Medicare allowable, it's STILL not Medicare setting the prices - it's the RBRVS since the RBRVS is the original basis of the payment rates.
You are trying to paint the picture of the cart pulling the horse.
Ken
And you're trying to paint the picture of you actually knowing what the hell you're talking about.
What part of "Ken, surely you know that private insurance reimbursement rates are based off the medicare rates." didn't you understand the first time around? Don't twist this around and now claim "Medicare payment doesn't SET the prices" when nobody in this thread said they did.
You are wrong. The vast majority of major payers base their reimbursment rates on Medicare rates.
But Medicare doesn't make up their rates. Their rates come from the RBRVS - and the RBRVS is based on the typical rates for the procedure in the area in question. Thus it's the RVRVS that sets the prices. Medicare just follows those rates.
Gee, what are all these apples all over the floor? Seems like somebody's cart has been upset...
Can you tell me approximately how many physicians in the US actually belong to the AMA? It is a very small number so they aren't represented by the AMA.
Toward the end of this linked article you can find that there are about 814,000 licensed physicians in the US and also that the AMA claims they have 236,000 of them in their membership. Can you tell me how only 29% of the doctors in AMA is a representation of all of them? I think you have been reading too many leftward talking points and been sucked in.
Notice that the link comes from a left leaning organization. I only use them when their words can prove my point.
Last edited by roysoldboy; 03-19-2010 at 09:45 PM..
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