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Started By
Message
re: Medicaid is slow pay, low pay or no pay and only desperate or mandated providers accept it
Posted on 6/24/17 at 11:48 am to TigerDoc
Posted on 6/24/17 at 11:48 am to TigerDoc
quote:You don't know what insurance is. Medicaid isn't insurance. It's a subsidy. And a poor one at that.
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.
0
Posted on 6/24/17 at 11:52 am to TigerDoc
quote:They do no such thing. Quite the opposite, actually, as many treatments are denied by protocol, or simply having backlogs loner than the PTs life expenctancy.
how can a nation like the UK with a lower GDP per capita than the US guarantee healthcare to all its citizens?
Posted on 6/24/17 at 12:00 pm to Pinecone Repair
quote:
I'm going to sound like a bitch but I'll tell you exactly why. I don't want to sit around listening to trashy people talk about trashy things while their horrible children rip leaves off plants,and destroy waiting room books (or toys). My husband makes a lot of money, we have excellent insurance (but pay cash for many visits), and I want the best possible care. I like nice offices, friendly staff and physicians who aren't dealing with the dregs all day. This post was edited on 6/23 at 7:08 pm
This might be the GOAT dumbest post I've seen on this board
Posted on 6/24/17 at 12:07 pm to Antonio Moss
quote:
Literally none of this is correct
I assume that is why it happens??
Just do a casual read and you will see that during Obama's last few years the HHS began cracking down it.
It happens. It happens all too often. It may not now, but it did. How do I know this?? Because they started fining those who overcharged for medicare and medicaid.
This post was edited on 6/24/17 at 12:09 pm
Posted on 6/24/17 at 12:12 pm to reo45
I also never said it was ethical or legal, but it is happening.
Those that do it by sleight and not get greedy do well, but those that get greedy create patterns that get caught.
Still, the system is there to be rigged for smart practitioners who wish to benefit and make a little roll off of medicare and medicaid. If you think that certain practitioners aren't gaming the system you are wrong on all accounts.
You do know that the government has been bamboozled or in cahoots with private practice in all arenas for profit, right?
Some of the folks in here are extremely gullible
Those that do it by sleight and not get greedy do well, but those that get greedy create patterns that get caught.
Still, the system is there to be rigged for smart practitioners who wish to benefit and make a little roll off of medicare and medicaid. If you think that certain practitioners aren't gaming the system you are wrong on all accounts.
You do know that the government has been bamboozled or in cahoots with private practice in all arenas for profit, right?
Some of the folks in here are extremely gullible
Posted on 6/24/17 at 12:14 pm 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.
Categorically false
Posted on 6/24/17 at 12:14 pm to TheOcean
quote:
This might be the GOAT dumbest post I've seen on this board
You loons act like there isn't a growing economy of practitioners building businesses around this very framework.
Posted on 6/24/17 at 12:37 pm to reo45
quote:
I also never said it was ethical or legal, but it is happening.
Are you talking about fraud (billing for services you didn't provide)? Because what that person was describing isn't fraud. They weren't talking about abuse (billing for unnecessary services) either.
It sounded like they thought Medicaid paid on a percentage of charges, and all a provider had to do was charge a bazillion dollars per visit and Medicaid would eventually cover their costs
Posted on 6/24/17 at 4:32 pm to DaGarun
I am referring to scenarios where a procedure is undertaken by a specialized practice and to cover their costs they may add lib a little to get the covered pay, although they never actually did the extra procedure.
Fraud? Yes, but is it really? If I charge 1,000 a colonoscopy, and only am reimbursed (hypothetical) .75 on the dollar, I may add possibly (not a doctor so all hypothetical) biopsy, removal of hemorrhoids, fistulas, etc...etc... to get even or a little above.
Who is going to know? How do you find out? You have to see patterns and the government has become very good at doing that.
Fraud? Yes, but is it really? If I charge 1,000 a colonoscopy, and only am reimbursed (hypothetical) .75 on the dollar, I may add possibly (not a doctor so all hypothetical) biopsy, removal of hemorrhoids, fistulas, etc...etc... to get even or a little above.
Who is going to know? How do you find out? You have to see patterns and the government has become very good at doing that.
Posted on 6/24/17 at 4:36 pm to Scoop
Lousiana Medicaid actually pays more reliably than Medicare in my experience
Def pays less though
Def pays less though
Posted on 6/24/17 at 4:40 pm to SlowFlowPro
quote:
well the ACA really did a number on private practices and forced a lot of people into bigger groups, especially hospitals. so yeah your specialists are going to likely accept Medicaid
This was true before ACA. Its the nature of big name academic medical centers (Mayo, Mass Gen, etc etc)
quote:
that's a terrible comparison to her point, which was more of a GP scenario. we're talking apples and hand grenades, here
At no point did she say GP. She said whenever she's looking for "a new doctor." I can only read peoples words, not their minds.
Posted on 6/24/17 at 4:43 pm to Turbeauxdog
quote:
Obviously accepts Medicaid. Once you get into specialties and subspecialties so much of the work is with degenerates.
This literally makes 0 sense.
Posted on 6/24/17 at 5:03 pm to onmymedicalgrind
quote:
At no point did she say GP. She said whenever she's looking for "a new doctor." I can only read peoples words, not their minds
We're a healthy bunch- no specialists needed.
Posted on 6/24/17 at 5:08 pm to onmymedicalgrind
quote:
This was true before ACA. Its the nature of big name academic medical centers (Mayo, Mass Gen, etc etc)
But this was driven in large part through government slow pay and government regulations. Plenty of docs saw how much it was going to cost to implement an EMR system and said "where do I sign?" to the local hospital system.
Posted on 6/24/17 at 5:09 pm to Pinecone Repair
quote:
We're a healthy bunch- no specialists needed.
Id say more of my patients are healthy than terribly sick. You know, car accidents, sports injuries, etc happen to everybody. And if you avoid ppl who accept medicaid, you will be missing out on some of the biggest names in the field, just FYI
Posted on 6/24/17 at 5:12 pm to onmymedicalgrind
quote:
Id say more of my patients are healthy than terribly sick. You know, car accidents, sports injuries, etc happen to everybody. And if you avoid ppl who accept medicaid, you will be missing out on some of the biggest names in the field, just FYI
If she avoids pediatricians who are accepting new Medicaid patients, she's avoiding a lot of shitty offices, too. Dress this up however you want.
Posted on 6/24/17 at 5:16 pm to the808bass
quote:
If she avoids pediatricians who are accepting new Medicaid patients, she's avoiding a lot of shitty offices, too. Dress this up however you want.
Well apparently the office isnt too shitty if shes sticking around long enough to ask the doc if he accepts medicaid. Her point would have been stronger if she stated "I avoid doctors with sloppy offices/waiting rooms."
And I'm not dressing anything up. The most well respected names in a myriad of fields accept medicaid. Thats just a fact.
Posted on 6/24/17 at 5:26 pm to onmymedicalgrind
quote:
The most well respected names in a myriad of fields accept medicaid. Thats just a fact.
85% of doctors take new private insurance and Medicare patients. Fewer than 70% take new Medicaid patients. Keep telling everyone how wrong we are when it's obvious we're not.
Posted on 6/24/17 at 5:30 pm to onmymedicalgrind
quote:
And if you avoid ppl who accept medicaid, you will be missing out on some of the biggest names in the field,
I'd obviously have less room to be picky and probably would be more concerned about whatever issue brought me into the office. I didn't think about this before but I have macular degeneration (caused by histoplasmosis) and I have to see a retina specialist every 6 months. Since I was referred by my regular eye doctor I didn't ask.
I mean... I try to avoid standing in long lines too but sometimes that's unavoidable.
Posted on 6/24/17 at 5:31 pm to the808bass
quote:
85% of doctors take new private insurance and Medicare patients. Fewer than 70% take new Medicaid patients. Keep telling everyone how wrong we are when it's obvious we're not.
^^ lol what does any of this have to with my posts? Its like you cant argue my points so you just spout irrelevance. I guess thats one tactic.
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