Obamacare Consequences Check-in Thread | TigerDroppings.com
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bunky
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Obamacare Consequences Check-in Thread

So our endocrinologist, 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. Thus, since we are not OT ballers, we will have to move to a doctor of poorer quality.

I thought our standard of care would stay the same?

Also, look for the Baton Rouge Clinic (Perkins Rd.) to become a "VIP Medical Club" (aka cash only) in the very near future.

FORWARD!
This post was edited on 2/26 at 7:01 am



Roaad
LSU Fan
Lunch Wagon
Member since Aug 2006
54168 posts

re: Obamacare Consequences Check-in Thread
You must not like your doctor.

Because Obama said if you like your doctor, you'll be able to keep him.


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oldcharlie8
LA-Lafayette Fan
Baton Rouge
Member since Dec 2012
4613 posts

re: Obamacare Consequences Check-in Thread
quote:

Dr. Rajat Bhushan,


how old is he?



BRgetthenet
USA Fan
Golf Board Smash Lab™ CEO
Member since Oct 2011
73910 posts

re: Obamacare Consequences Check-in Thread
My vet takes insurance. Your doc in a box should at least let you use CareCredit.

Same as cash.


oldcharlie8
LA-Lafayette Fan
Baton Rouge
Member since Dec 2012
4613 posts

re: Obamacare Consequences Check-in Thread
quote:

CareCredit.


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wickowick
LSU Fan
Head of Island
Member since Dec 2006
27320 posts
Online

re: Obamacare Consequences Check-in Thread
Please forward all pertinent information #doctorwatch. The dear leader will dispatch someone to handle...


bunky
LSU Fan
FREE EL GUACHO
Member since Jul 2011
4471 posts

re: Obamacare Consequences Check-in Thread
quote:

how old is he?


Not that old. A group of BR doctors are banding together to form a "VIP Medical Club," per se.


Lsut81
USA Fan
Member since Jun 2005
65975 posts

re: Obamacare Consequences Check-in Thread
quote:

moving to a "cash-only" basis


Sounds like a lot of doctors are doing this...



Btw, did anyone see that Florida is already saying there is no way they will have enough doctors.

They are estimating 1000 a yr will retire and their medical schools are only able to produce 700 new graduates a year. And that is before the additional 1m or so patients drop on in 2014.


CamdenTiger
Member since Aug 2009
29630 posts
Online

re: Obamacare Consequences Check-in Thread
Its the way it will happen. In October 2014, there will be increased documentation, and less reimbursement for everything Dr's do, by other party payers(including Gov't). The smarter one's will have to get creative to keep an income stream, or any quality of life.


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CamdenTiger
Member since Aug 2009
29630 posts
Online

re: Obamacare Consequences Check-in Thread
quote:

Btw, did anyone see that Florida is already saying there is no way they will have enough doctors. They are estimating 1000 a yr will retire and their medical schools are only able to produce 700 new graduates a year. And that is before the additional 1m or so patients drop on in 2014.


Thats just Florida. All our older ones are getting out. Increased work loads, call, electronic medical record demands, and reduced reimbursement are just too much. Most have invested well during the good times, and hate any gov't intervention..The loss is the knowledge vacuum..Some of the best teachers, the guys that have seen it all, just walking away...


JoBoo
LSU Fan
Ethiopian-American
Member since Jul 2005
4591 posts

re: Obamacare Consequences Check-in Thread
I've never heard of a doctor who went to a cash basis. In fact, I've never heard of anyone having to switch doctors because they no longer were under a specific insurance plan. This is really shocking.

Thanks, Obama!


bunky
LSU Fan
FREE EL GUACHO
Member since Jul 2011
4471 posts

re: Obamacare Consequences Check-in Thread
So when will the govt start subsidizing doctors to keep them in the field?


wickowick
LSU Fan
Head of Island
Member since Dec 2006
27320 posts
Online

re: Obamacare Consequences Check-in Thread
quote:

I've never heard of a doctor who went to a cash basis. In fact, I've never heard of anyone having to switch doctors because they no longer were under a specific insurance plan. This is really shocking.


You will see lots of things that you have never seen before in the coming years...


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wickowick
LSU Fan
Head of Island
Member since Dec 2006
27320 posts
Online

re: Obamacare Consequences Check-in Thread


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NC_Tigah
LSU Fan
Member since Sep 2003
57906 posts

re: Obamacare Consequences Check-in Thread
quote:

I've never heard of a doctor who went to a cash basis.
Well smartass, have you ever heard of an endocrinologist doing it?

I won't waste my time pointing out the nuance except to say that we're facing an environment where Obamacare = Medicaid for MDs.

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.


oldcharlie8
LA-Lafayette Fan
Baton Rouge
Member since Dec 2012
4613 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.



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

This post was edited on 2/26 at 8:08 am


Lsut81
USA Fan
Member since Jun 2005
65975 posts

re: Obamacare Consequences Check-in Thread
quote:

I've never heard of a doctor who went to a cash basis


I hadn't until recently, but my boss does and I've started to hear of more and more...


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Powerman
LSU Fan
Corpus Christi, TX
Member since Jan 2004
121199 posts

re: Obamacare Consequences Check-in Thread
quote:

So our endocrinologist, 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.

This is of course a positive unintended consequence.

quote:

Thus, since we are not OT ballers, we will have to move to a doctor of poorer quality.


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



I B Freeman
Member since Oct 2009
7986 posts

re: Obamacare Consequences Check-in Thread
quote:

So our endocrinologist, 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. Thus, since we are not OT ballers, we will have to move to a doctor of poorer quality.

I thought our standard of care would stay the same?

Also, look for the Baton Rouge Clinic (Perkins Rd.) to become a "VIP Medical Club" (aka cash only) in the very near future.

FORWARD!



Look I absolutely think medical care pricing should be subscription based. If all the people the government is buying health care for were the ones shopping for the health care instead of the government health care would be MUCH cheaper.

We should as Ryan proposed during the election move medicare to some sort of voucher system and away from this ridiculous pay per procedure model we have now.

We should be buying our health care from providers and not have insurance companies in between.

I remember back in the seventies when hospital stays were priced by the day. Even your insurance coverage was bought by the day. When the government moved to pay by procedure and then said no one could charge any less to someone else for their services than they what they charge the government the cost started spiraling out of control. The government in effect sets a floor for health care pricing. Providers lobby the bureaucrats, of course, for higher reimbursements causing all of the cost to go up.

It is a crazy system we have created. The pricing model needs to change and change quickly. ObamaCare has done nothing to do that except to run doctors away from the government and into these cash deals. Perhaps there will be enough of that to one day change the model.

This post was edited on 2/26 at 8:15 am


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Homesick Tiger
LSU Fan
Greenbrier, AR
Member since Nov 2006
15455 posts
Online

re: Obamacare Consequences Check-in Thread
My family doctor sent me a letter last week telling me he is closing his practice April 1st. FWIW, he's 67 and said it was time to retire anyway.


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