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re: USA will have Socialized Medicine in 20 Years - It's Inevitable

Posted on 7/13/22 at 8:53 pm to
Posted by WW
Member since Dec 2013
2320 posts
Posted on 7/13/22 at 8:53 pm to
Medicare routinely denies services you provider orders and forces you to pay out of pocket or walk away. Much of the administrative costs and patients flooding the emergency rooms, again driving up costs, are those on government plans. I see nothing positive about eliminating private insurers.
Posted by LSUfan4444
Member since Mar 2004
54281 posts
Posted on 7/14/22 at 5:43 am to
quote:

Medicare routinely denies services you provider orders


This is false...Medicare only does retrospective reviews which is why it is why so many doctors and health systems fraud, abuse and overuse it. Sure, some of their claims may bet overturned in a retrospective review but not all. It's the wild wild west and while their reimbursements rates are not the highest it's been an open cookie jar.
Posted by LaLadyinTx
Cypress, TX
Member since Nov 2018
6132 posts
Posted on 7/14/22 at 2:49 pm to
quote:

Medicare routinely denies services you provider orders and forces you to pay out of pocket or walk away. Much of the administrative costs and patients flooding the emergency rooms, again driving up costs, are those on government plans. I see nothing positive about eliminating private insurers.


Medicare seldom denies much IF you have traditional Medicare. If you have a managed care Medicare plan, well, good luck on getting much of anything beyond the basics. It's all those Medicare plans managed by insurance companies that deny, deny, deny.
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