Obamacare Consequences Check-in Thread - Page 3 - TigerDroppings.com

Posted byMessage
SmackoverHawg
Arkansas Fan
Member since Oct 2011
13503 posts

re: Obamacare Consequences Check-in Thread


quote:

they must be satisfied (somewhat) with what medicaid pays them because they are always offering me a 50-60% discount if i pay cash.


You're claiming physicians offer you their clinical services at 50-60% off Medicaid's reimbursement rates?

If that is your claim, you're either confused or lying.


Exactly..m'caid pays about 35% of billed charges, it they even pay. The pt may have exhausted their benefits or m'caid may deny payment after the fact. Unlike pharmacies, we are not guaranteed paymment at the time of service. Not to mention the pain in the arse it is to file a claim with m'caid and collect it. I have had them go >13 months without paying me for anything on anyone. I only take the few a do to help those folks out.






Back to top
  Replies (0)
tigerskin
LSU Fan
Member since Nov 2004
9603 posts

re: Obamacare Consequences Check-in Thread


Medicare and Medicaid/Obamacare are 2 different animals.





Back to top
SmackoverHawg
Arkansas Fan
Member since Oct 2011
13503 posts

re: Obamacare Consequences Check-in Thread


quote:

that it is illegal for a doctor to practice without accepting insurance

Canada does this.






Back to top
udtiger
LSU Fan
Louisiana
Member since Nov 2006
24857 posts

re: Obamacare Consequences Check-in Thread


frick Obama.

Seriously, frick that lying piece of shit!






Back to top
  Replies (0)
Lsut81
USA Fan
Member since Jun 2005
64613 posts

re: Obamacare Consequences Check-in Thread


quote:

Canada does this.



I have a feeling, that will be the next move






Back to top
Kickadawgitfeelsgood
Lafayette LA
Member since Nov 2005
8166 posts

re: Obamacare Consequences Check-in Thread


quote:

Dr. Rajat Bhushan, arguably one of the better doctors in the state, has informed us that he will no longer be accepting ANY insurance and will be moving to a "cash-only" basis.

Have you determined if his services are worth you paying cash?



This post was edited on 2/26 at 9:14 am


Back to top
udtiger
LSU Fan
Louisiana
Member since Nov 2006
24857 posts

re: Obamacare Consequences Check-in Thread


quote:

I have a feeling, that will be the next move


Regulation requiring states running Obamacare exchanges to mandate that condition of medical license is acceptance of insurance/Medicare/Medicaid.






Back to top
Diamondawg
Mississippi St. Fan
Mississippi
Member since Oct 2006
10984 posts

re: Obamacare Consequences Check-in Thread


quote:

Medicaid pays physicians as little as 8¢ on the dollar.
If Obamacare reimburses an average of 25¢ on the dollar, and that payment comes with a litany of expensive extraneous regulations (as it does), cash-basis practices can more than break even, even if they lose 75% of their patients in the transition. That, JoBoo, is the point.

So the business model is you dump your entire back office since you are not filing insurance, Medicaid and Medicare, reducing you overhead drastically? You get 100% of billed charges with instant cash. Even though you drastically reduce your patient load, you still come out ahead. However, aren't you fairly limited in what specialties can do this? Certainly all of the surgical specialties couldn't. I would think Pulmonary, Cardiology, etc., would have a difficult time with this concept. Family Practice - not sure but they typically do a lot of lab work, x-rays, EKGs, etc., so it probably has a lot to do with where you practice.






Back to top
CamdenTiger
Member since Aug 2009
27345 posts

re: Obamacare Consequences Check-in Thread


I think the goal will be to starve both patients and Dr's out of the growing pie. Then, they will both beg for Socialism....At least, it looks like the idea playing out, from what I can piece together.





Back to top
  Replies (0)
Diamondawg
Mississippi St. Fan
Mississippi
Member since Oct 2006
10984 posts

re: Obamacare Consequences Check-in Thread


quote:

Medicare and Medicaid/Obamacare are 2 different animals.

Three






Back to top
udtiger
LSU Fan
Louisiana
Member since Nov 2006
24857 posts

re: Obamacare Consequences Check-in Thread


BTW...CJ John Roberts can die in a mother fricking fire.





Back to top
  Replies (0)
NC_Tigah
LSU Fan
Member since Sep 2003
51747 posts

re: Obamacare Consequences Check-in Thread


quote:

However, aren't you fairly limited in what specialties can do this?
Apparently not.

That should be the real eye opener inherent in the OP . . . . the MD noted is an endocrinologist.
quote:

Certainly all of the surgical specialties couldn't. I would think Pulmonary, Cardiology, etc., would have a difficult time with this concept.
If it works for an endocrinologist, it would work for these. Call coverage might fall outside of the model, but once care was rendered, noncash patients would be transferred back to the Obamacare system.






Back to top
Turbeauxdog
LSU Fan
Member since Aug 2004
5710 posts

re: Obamacare Consequences Check-in Thread


quote:

Or hopefully more doctors follow suit, you dump your costly health insurance and pay out of pocket and save a ton of money.


To some degree I agree with you, I switched to an ultra high deductible plan at work and started donating the premium difference into an HSA. By the end of next year I hope to have 2 years worth of my family deductible in the account, then I'll drop the donation to whatever the minimum requirement to get my employer matching is. Basically by that point I'll only be paying about 225 a month for a family plan and the security of about 8000 in my HSA.

If I incur medical expenses, I'll just start donating again

I think that is the way to go moving forward.






Back to top
  Replies (0)
Diamondawg
Mississippi St. Fan
Mississippi
Member since Oct 2006
10984 posts

re: Obamacare Consequences Check-in Thread


quote:

If it works for an endocrinologist, it would work for these.
Not that familiar with what goes on in an Endocrinologist visit but I would have a hard time paying cash for a PFT at a Pulmonologist's office or Echo's and Stress Tests at a Cardiologist's office. But, I am not an OT baller either.






Back to top
Taxing Authority
LSU Fan
Houston
Member since Feb 2010
22651 posts

re: Obamacare Consequences Check-in Thread


quote:

You're claiming physicians offer you their clinical services at 50-60% off Medicaid's reimbursement rates?
Surely he means the first-bill prices, which NO one actually pays.






Back to top
Taxing Authority
LSU Fan
Houston
Member since Feb 2010
22651 posts

re: Obamacare Consequences Check-in Thread


quote:

I don't see O letting the class distinction in healthcare happen.
The ACA is very clear in intent that it will not. It will bring top care down to meet poor quality the leeches get.






Back to top
  Replies (0)
NC_Tigah
LSU Fan
Member since Sep 2003
51747 posts

re: Obamacare Consequences Check-in Thread


quote:

Not that familiar with what goes on in an Endocrinologist visit but I would have a hard time paying cash for a PFT at a Pulmonologist's office or Echo's and Stress Tests at a Cardiologist's office.
Exactly.

and just like in Britain, middle class Obamacare patients will be relegated to the level of care the system provides. Whatever that level is.

Sucks!






Back to top
  Replies (0)
Taxing Authority
LSU Fan
Houston
Member since Feb 2010
22651 posts

re: Obamacare Consequences Check-in Thread


quote:

More like, I wonder if there will be a decree under DHH in the powers that it was granted under Obamacare, that it is illegal for a doctor to practice without accepting insurance
I have no doubt they will make it a condition of licensure.






Back to top
NC_Tigah
LSU Fan
Member since Sep 2003
51747 posts

re: Obamacare Consequences Check-in Thread


quote:

Surely he means the first-bill prices, which NO one actually pays.
He didn't know what he meant.
He was actually talking about private insurance and dentists.






Back to top
  Replies (0)
Diamondawg
Mississippi St. Fan
Mississippi
Member since Oct 2006
10984 posts

re: Obamacare Consequences Check-in Thread


quote:

I have no doubt they will make it a condition of licensure.

Licensure is done by the state.






Back to top


Back to top