- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message
re: Medicaid is slow pay, low pay or no pay and only desperate or mandated providers accept it
Posted on 6/23/17 at 11:31 pm to mahdragonz
Posted on 6/23/17 at 11:31 pm to mahdragonz
quote:
The mayo clinic and Cleveland clinic are the two top hospitals in the us and they both take Medicaid.
Are you high? Of course they take Medicaid. They're hospitals. Are you serious with this bullshite?
Mayo isn't excited about Medicaid though.
quote:
In a videotaped speech to staff late last year, Noseworthy indicated that Mayo had reached a "tipping point" at which the growth in the number of its Medicaid patients jeopardized its ability to pay staff and maintain its substantial clinical and research agenda.
LINK
0
Posted on 6/23/17 at 11:31 pm to haricot rouge
quote:
The majority of Medicaid in Louisiana is handled (paid) by the private sector Managed Care Organizations (MCOs) like United Healthcare, Aetna, etc. The bureaucratic state government is not involved.
Hasn't this made it better?
UHC Community is great, actually. Their insured still suck, but they're easy to deal with. Amerigroup is hit or miss. Aetna Better Health sucks major dick. LA Healthcare Connections sucks major dick. AmeriHealth Caritas sucks major dick.
Straight LA Medicaid is still the GOAT shite payer in the history of shite payer.
This post was edited on 6/23/17 at 11:32 pm
Posted on 6/23/17 at 11:35 pm to the808bass
Yeah, I always figured you for an Annals of Internal Medicine kinda guy.
(medical journal reputation is just about the last subject I thought I'd be debating here)
(medical journal reputation is just about the last subject I thought I'd be debating here)
Posted on 6/23/17 at 11:38 pm to TigerDoc
quote:
To bring this thread back to Medicaid's worth, a quick bit of info. Medicaid covers about 20% of Americans (74 million Americans) including 1/3 of our kids and 2/3 of our nursing home residents. Shrinking it dramatically will only renew the call for a national healthcare system. We could end up with something like medicaid or medicare for all.
As much as I despise Medicaid, this is actually a good point. I really wish that the government payer model would shift entirely to the Medicaid/Medicare alternatives like UHC Community and Humana Gold. I don't mind handling those. If we lose all private payers we can kiss medicine as we know it goodbye.
Posted on 6/23/17 at 11:40 pm to TigersSEC2010
Keep in mind everybody, when you hear medical administrators and billing people complain about Medicaid being a "shite payer", what that means is that it's very cheap to insure that person compared to insuring them with commercial insurance. When medical providers grumble about government reimbursements, taxpayers should smile.
This post was edited on 6/23/17 at 11:41 pm
Posted on 6/23/17 at 11:45 pm to TigersSEC2010
What exactly do you like UHC Community and Humana Gold compared to the others?
Posted on 6/23/17 at 11:53 pm to Scoop
Medicaid is something many poor disabled Americans, who cannot work due to their disability / or have not been able to work enough to earn enough credits for Medicare (or who live in group homes) desperately cannot live without. I see it daily.
If there are national cuts in reimbursements to the states (who actually administer Medicaid and savings programs for Medicare), then the states have to come up with a way to afford it for those individuals. I just don't want to see cuts in services for those people (they already have sub level care due to low reimbursments) it would be disastrous. I'd be willing to pay more on the local level.
If there are national cuts in reimbursements to the states (who actually administer Medicaid and savings programs for Medicare), then the states have to come up with a way to afford it for those individuals. I just don't want to see cuts in services for those people (they already have sub level care due to low reimbursments) it would be disastrous. I'd be willing to pay more on the local level.
This post was edited on 6/23/17 at 11:55 pm
Posted on 6/24/17 at 2:41 am to TigerDoc
quote:
that it's very cheap to insure that person compared to insuring them with commercial insurance.
And the health outcomes are indistinguishable for the Medicaid patient and the uninsured.
Posted on 6/24/17 at 5:13 am to Scoop
Many exacerbate the problem by bringing two or three extra people with them to the doctor, I guess because none of them work. It's getting to the point where the seats need to say "reserved for patients only".
Posted on 6/24/17 at 5:45 am to TigersSEC2010
quote:
Straight LA Medicaid is still the GOAT shite payer in the history of shite payer.
Are u saying they are good or bad?
Posted on 6/24/17 at 5:54 am to CamdenTiger
quote:Right.
If you take call at a ER, you have to take Medicaid. I don't see how many docs can avoid it .
To clear confusion, the reference is not solely to ER docs. It translates to any speciality taking call for a hospital. Certainly if the majority, or even a substantial minority, of those calls are for medicaid patients, MD's will either require compensation from the hospital, or will eventually exit the call roster.
I suspect some of the issue is semantic. But the flip side is, I'd be appalled by any MD who would insist on checking an insurance card before rendering emergent care to a patient.
Posted on 6/24/17 at 7:01 am to Pinecone Repair
quote:
Whenever I've sought treatment from a new doctor I've asked if they accept Medicaid. If they say yes I thank them and try another.
1. You're lying.
2. Thats retarded
Posted on 6/24/17 at 7:04 am to Kickadawgitfeelsgood
quote:
Top pediatric neurologist in this state accepts Medicaid. You're an idiot.
The top (fill in the blank) in alot of states often take medicaid bc they are linked to big name academic medical centers that do. Shes clueless.
Posted on 6/24/17 at 7:17 am to Pinecone Repair
quote:
I don't want to sit around listening to trashy people talk about trashy things
But you read and post on this message board!
Posted on 6/24/17 at 7:38 am to the808bass
That is untrue
quote:
Under the Affordable Care Act, millions of the uninsured have gained Medicaid coverage. But is Medicaid good for their health, bad for their health, or does it make no difference from being uninsured? All three claims found a political champion recently, and all refer to the same study for support. According to Republican presidential candidate Rick Perry, the health outcomes for people on Medicaid are no better than for those without insurance. Fellow candidate Sen. Ted Cruz went further, saying health outcomes are “markedly worse when people get on Medicaid” and that “people’s life expectancy goes down on Medicaid.” President Obama and others in his administration, meanwhile, credit the Medicaid expansion for improving people’s health and saving thousands of lives. The academic evidence is heavily on Obama’s side. But both the president and Perry are cherry-picking from the same study, while Cruz distorts it.
Posted on 6/24/17 at 8:08 am to Kickadawgitfeelsgood
quote:
Top pediatric neurologist in this state accepts Medicaid.
So? Lots of great doctors accept Medicare and Medicaid. Hell, the largest healthcare provider in the state (and nationally recognized for quality) accepts both. That doesn't mean that Medicaid and Medicare pay the actual cost of service or pay on time.
Posted on 6/24/17 at 8:10 am to Wildcat In Germany
quote:
My brother in law died of melanoma, at the age of 31, when my nephew was two and my niece was three. They'll never know their father. My sister was a stay at home mom with a college degree and a stable life before that, they were young, able to afford their children but didn't see cancer being a factor. My sister had to rely on Medicaid for my niece and nephews health care until she was able to get a good job and work her way out of being the mom with no experience. She now works as a paralegal at a major law firm but, if you had your way her and my nephew and niece would be on their own... because frick them for what life throws at them. If they're on Medicaid, they must be ghetto trash.
Sad story that is completely irrelevant to his post.
Posted on 6/24/17 at 8:11 am to reo45
quote:
From what I understand an office can just charge a high rate and the low pay will cover the costs so there is no loss.
Kind of like charging 100$ for a roll of toilet paper to get 20$ back. You still making a profit.
The government is easily robbed and doctors would not accept Medicaid or Medicare if they were going to lose money lol.
Literally none of this is correct
Posted on 6/24/17 at 8:13 am to TigerDoc
quote:
what that means is that it's very cheap to insure that person compared to insuring them with commercial insurance.
No, what it means is that private payers are charged higher premiums to cover higher costs in order to cover the deficits in payment from government payers.
Privately insured taxpayers actually pay more in the long run due to inefficiencies to the system.
Posted on 6/24/17 at 8:20 am to Antonio Moss
Not for profit hospitals can write off losses on Medicaid as a community benefit to help fulfill not for profit status. Of course they have to take emergent cases but even nonemergent can make sense for a hospital.
Medicare still does not provide a positive operating margin for most hospitals but it 'should' at least have a contribution margin. Hospitals and insurers are actively working on driving down cost of care through efficiencies and population management of Medicare patients. They have to if they want to survive and many are making good progress.
Medicare still does not provide a positive operating margin for most hospitals but it 'should' at least have a contribution margin. Hospitals and insurers are actively working on driving down cost of care through efficiencies and population management of Medicare patients. They have to if they want to survive and many are making good progress.
Page 4 of 7
Popular
Back to top
Follow TigerDroppings for LSU Football News