- 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: Why do moderate dems claim a public option health plan could coexist with private plans?
Posted on 4/19/20 at 10:38 am to Taxing Authority
Posted on 4/19/20 at 10:38 am to Taxing Authority
quote:
Anyone interacting with the U.S. health care system is bound to encounter examples of unnecessary administrative complexity—from filling out duplicative intake forms to transferring medical records between providers to sorting out insurance bills. This administrative complexity, with its associated high costs, is often cited as one reason the United States spends double the amount per capita on health care compared with other high-income countries even though utilization rates are similar.1
Each year, health care payers and providers in the United States spend about $496 billion on billing and insurance-related (BIR) costs, according to Center for American Progress estimates presented in this issue brief
half a trillion on nothing about health.
this overhead duplicates medicare system.
Posted on 4/19/20 at 10:49 am to HailHailtoMichigan!
quote:
Why do moderate dems claim a public option health plan could coexist with private plans?
Democrats are stupid people.
They are pure filth and are jealous or envious of anyone who has money.
Posted on 4/19/20 at 11:08 am to HailHailtoMichigan!
A public plan by itself would not eliminate private insurers. The feds would have to make private insurance illegal for that to happen.
The main problem with the OPs reasoning is that he incorrectly assumes private plans still pay providers significantly more than Medicare. I do not take Aetna in my area because they pay 89% of Medicare’s fee schedule. None of the Medicare Advantage plans (run by private insurers) have fee schedules equal to Medicare. They all pay less than Medicare. BCBS is the only network which still pays me significantly more than Medicare and it’s only 120% of what Medicare would pay. I can count on one finger the number of primary care physicians who refer to me and don’t take Medicare.
Basically, I make around 110% of what Medicare would pay for a given patient encounter, on average. It’s a race to the bottom and physicians are either accepting the terms because we are an incredibly disorganized profession...or folks are going to work for their local healthcare/hospital megacorp where they don’t care about fee schedules as it doesn’t affect their pay directly.
Medicaid is another story. Those rates are criminally low. I am not a medicaid provider in my state. And I refuse medicaid consults in the hospital.
The main problem with the OPs reasoning is that he incorrectly assumes private plans still pay providers significantly more than Medicare. I do not take Aetna in my area because they pay 89% of Medicare’s fee schedule. None of the Medicare Advantage plans (run by private insurers) have fee schedules equal to Medicare. They all pay less than Medicare. BCBS is the only network which still pays me significantly more than Medicare and it’s only 120% of what Medicare would pay. I can count on one finger the number of primary care physicians who refer to me and don’t take Medicare.
Basically, I make around 110% of what Medicare would pay for a given patient encounter, on average. It’s a race to the bottom and physicians are either accepting the terms because we are an incredibly disorganized profession...or folks are going to work for their local healthcare/hospital megacorp where they don’t care about fee schedules as it doesn’t affect their pay directly.
Medicaid is another story. Those rates are criminally low. I am not a medicaid provider in my state. And I refuse medicaid consults in the hospital.
This post was edited on 4/19/20 at 11:29 am
Posted on 4/19/20 at 11:30 am to CelticDog
quote:This will be true for any third-party payer. Do you think it's easy to get CMMS reimbursements?
Each year, health care payers and providers in the United States spend about $496 billion on billing and insurance-related (BIR) costs,
quote:Congrats on being gullible.
Center for American Progress estimates
Posted on 4/19/20 at 12:03 pm to Taxing Authority
quote:
This will be true for any third-party payer. Do you think it's easy to get CMMS reimbursements?
Good point. Though I do spend significantly more money fighting BCBS, United and Cigna for money than I do CMS. Medicare will basically pay anything you bill as long as its coded correctly.
Of course, if you have incorrectly billed Medicare and they catch it, they will get their money back. If you were dumb enough to fraudulently bill the feds, they will put you in jail.
Posted on 4/19/20 at 9:37 pm to MeatCleaverWeaver
quote:there is no such thing as a moderate Dem.
I know no whites who are moderate Dems.
like most Democrats, they are lying.
is there such a thing as a moderate Socialist or a moderate Communist?
and what is the difference between a Socialist and a Democrat? they both lie, cheat, and are corrupt as hell.
Popular
Back to top
Follow TigerDroppings for LSU Football News