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Archie Bengal Bunker
Florida State Fan
UWF Fan
Member since Jun 2008
15105 posts

re: I Work In Healthcare


I only have a basic understanding of the bill; so, what is driving up costs on healthcare? From what I can tell, a larger group of people will be insured, which would mean more people getting services. I think service providers get paid when they provide services, right?



Now, non-provider business costs and personal insurance are a different story.






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Lsupimp
LSU Fan
Member since Nov 2003
30081 posts

re: I Work In Healthcare


This is contrary to recent Unicorn sightings in area.
Thusly, your claim is FALSE.






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coondaddy21
LSU Fan
Louisiana
Member since Oct 2012
684 posts

re: I Work In Healthcare


quote:

My father-in-law had a medical practice that consisted mainly of elderly sick people on Medicare. By the time he closed his practice, Medicare was paying my father-in-law $29 for an hour visit. He's internal medicine, so his patients had multiple ailments and usually took up every bit of that hour. The last year, he had to pay his nurses and office staff out of his own pocket, because that amount of money couldn't even pay his overhead. He know works as a hospitalist and does fine, but nearly 1000 patients in the Monroe area lost the best doctor in the region. So, here's the question: What incentive does anyone have to become a physician when the single payer doesn't pay enough to have your own business?


This is the exact scenario I have been preaching about since Obamacare was passes. I see it in my practice as a CRNA and every physician that I work with.






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Shankopotomus
New Orleans Pelicans Fan
Brian Roberts Fan
Member since Feb 2009
18175 posts

re: I Work In Healthcare


come on, a change as large as the ACA is going to have ramifications. you cannot just take overt something that was largely dominated by the private sector and not expect it to have negative effects

lets start with the profit margin requirements which are required under the ACA, with profit cuts come job cuts. you know this....






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Rex
LSU Fan
Here, there, and nowhere
Member since Sep 2004
52380 posts

re: I Work In Healthcare


quote:

So, here's the question: What incentive does anyone have to become a physician when the single payer doesn't pay enough to have your own business?

Gee, I don't know... why don't you poll the millions of doctors in the rest of the world who make good livings?






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tdt
Member since Nov 2012
477 posts

re: I Work In Healthcare


would love to hear about this profit margin requirement





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Rex
LSU Fan
Here, there, and nowhere
Member since Sep 2004
52380 posts

re: I Work In Healthcare


quote:

I only have a basic understanding of the bill; so, what is driving up costs on healthcare? From what I can tell, a larger group of people will be insured, which would mean more people getting services. I think service providers get paid when they provide services, right?

It only takes a basic understanding to recognize that the OP is probably f.o.s.






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coondaddy21
LSU Fan
Louisiana
Member since Oct 2012
684 posts

re: I Work In Healthcare


quote:

I only have a basic understanding of the bill; so, what is driving up costs on healthcare? From what I can tell, a larger group of people will be insured, which would mean more people getting services. I think service providers get paid when they provide services, right?


What you fail to realize is like Medicaid patients that I see in my state are able to get insurance at either no cost or at a reduced rate. Any sniffle, cough or headache, these patients are in the ER. No personal responsibility at all!

Healthcare will now become buffet oriented. How many people here eat too much when they go to a buffet because they can and its relatively cheap? This is what will continue to happen when you provide low to no cost medical care. People will start treating it like a buffet. I see it now with Medicaid.

This definitely won't reduce the cost of medical care.



This post was edited on 11/13 at 9:55 am


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Shankopotomus
New Orleans Pelicans Fan
Brian Roberts Fan
Member since Feb 2009
18175 posts

re: I Work In Healthcare


forgive me as my brain isn't working at the moment, but it is the provision in the bill which requires health insurers to spend a certain amount of premium income on benefits and services......which essentially amounts to cutting into profits which will hurt the industry as a whole







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SoulGlo
LSU Fan
Shinin' Through
Member since Dec 2011
3207 posts

re: I Work In Healthcare


quote:

what added cost



read the bill.






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speckledtrout
Alabama Fan
Birmingham, AL
Member since Apr 2011
1613 posts

re: I Work In Healthcare


Elections have consequences!







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NaturalBeam
LSU Fan
Member since Sep 2007
13067 posts

re: I Work In Healthcare


quote:

A company that provides healthcare would likely receive MORE remuneration from Obamacare... so until we know more details I'll have to conclude his assertion of "more costs" is pure bunk.
I don't know if the costs are the problem, but revenue definitely is. My wife is a speech therapist in a nursing home and all of the Medicare patients who were receiving 100 days of therapy before are only receiving 20 now. So layoffs will have to occur as skilled nursing is a large portion of a nursing home's revenue.






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AUtigerNOLA
Auburn Fan
New Orleans, LA
Member since Apr 2011
8866 posts

re: I Work In Healthcare


quote:

Today began the first wave of layoffs in anticipation of the massive 2013 budget cuts we're in for.


Most companies are scared of the fiscal cliff. It is very scary and will affect everyone. Check out this link. LINK






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wavebreaker
LSU Fan
New Orleans
Member since Nov 2012
467 posts

re: I Work In Healthcare


Healthcare will be in the red more than the post office.

What government anything is run well? It's 2/3 waste, inefficiency, dead head workers, long lines, craply device. The DMV responsible for your health care.

Goal is to destroy the one reason to stay in this country for retirees (mostly conservative voters). Death panels deciding if grandma is worth the hip replacement surgery or not.

47 million Americans on food stamps. Obama got 16 million votes on top of that. The 47% is now the 52%. Game over.






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Shankopotomus
New Orleans Pelicans Fan
Brian Roberts Fan
Member since Feb 2009
18175 posts

re: I Work In Healthcare


quote:

Summary of tax increases: (ten year projection)

Increase Medicare tax rate by .9% and impose added tax of 3.8% on unearned income for high-income taxpayers: $210.2 billion
Charge an annual fee on health insurance providers: $60 billion
Impose a 40% excise tax on health insurance annual premiums in excess of $10,200 for an individual or $27,500 for a family: $32 billion
Impose an annual fee on manufacturers and importers of branded drugs: $27 billion
Impose a 2.3% excise tax on manufacturers and importers of certain medical devices:$20 billion
Raise the 7.5% Adjusted Gross Income floor on medical expenses deduction to 10%: $15.2 billion
Limit annual contributions to flexible spending arrangements in cafeteria plans to $2,500: $13 billion
All other revenue sources: $14.9 billion

Summary of spending offsets: (ten year projection)

Reduce funding for Medicare Advantage policies: $132 billion
Reduce Medicare home health care payments: $40 billion
Reduce certain Medicare hospital payments: $22 billion







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Shankopotomus
New Orleans Pelicans Fan
Brian Roberts Fan
Member since Feb 2009
18175 posts

re: I Work In Healthcare


Here it is:
quote:


Insurers must spend 80% (for individual or small group insurers) or 85% (for large group insurers) of premium dollars on health costs and claims, leaving only 20% or 15% respectively for administrative costs and profits, subject to various waivers and exemptions. If an insurer fails to meet this requirement, there is no penalty, but a rebate must be issued to the policy holder. This policy is known as the 'Medical Loss Ratio'.[69][70][71][72]






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Janky
LSU Fan
Team Primo
Member since Jun 2011
5813 posts
 Online 

re: I Work In Healthcare


DMV & USPS





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Rex
LSU Fan
Here, there, and nowhere
Member since Sep 2004
52380 posts

re: I Work In Healthcare


quote:

What you fail to realize is like Medicaid patients that I see in my state are able to get insurance at either no cost or at a reduced rate. Any sniffle, cough or headache, these patients are in the ER. No personal responsibility at all!

That happens with employer-provided health plans, too. People are generally insulated from the cost of their care.

But your post seems irrelevant to this thread. More people going to clinics would mean more REVENUE for those providers.






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notslim99
LSU Fan
City of Bossier City
Member since Feb 2005
3592 posts

re: I Work In Healthcare


quote:

First of all many of these stories are always pretty dubious. It's not like if we have single payer there just won't be any doctors.

Second, this thread seems to be on the payer side, not provider.


quote:

Gee, I don't know... why don't you poll the millions of doctors in the rest of the world who make good livings?


No wonder you all voted for Obama. You can't think critically. I can't even build an arguement, because sense and reality just do not compute with you people.






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buddhavista
Member since Jul 2012
3543 posts

re: I Work In Healthcare


i actually think this is working as intended. The goal is to get administrative costs down, closer to medicare admin costs, which I believe are like 1%.

To do that, they need to trim things up. My BIL is a big wig at a hospital (he is a dr), and he thinks a big reason why health care costs are so high are due to insurance spending so much on administration.

I have no idea if its true. he is a big fan of preventive services too, said that will drive down costs. he was mostly disappointed with obamacare but think its going to help get health care costs under control and improve coverage.






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