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re: One-third of Louisiana's residents are enrolled in Medicaid

Posted on 6/13/19 at 10:40 am to
Posted by Festus
With Skillet
Member since Nov 2009
86045 posts
Posted on 6/13/19 at 10:40 am to
quote:

So essentially, we have a single payer system?

??

No. Single payer would be everyone on Medicaid. Everyone is not on Medicaid. Hence, other payers (Blue Cross/Blue Shield, Workers' Compensation Carriers, etc.) have to foot the bill for the other payer (Medicaid) that pays MUCH less, so that those who pay nothing continue to get care.
Posted by Uncs
Member since Aug 2008
3080 posts
Posted on 6/13/19 at 10:43 am to
1. Insurance availability shouldn't be based off of income.
2. People who pay private insurance... This is our money if we don't use it it should roll over every month! Fine Blue Cross Blue Shield take a 20% administrative fee and manage my Healthcare, fine take it but the balance of what I don't use should roll to next month.
3. All plans should include a catastrophic policy so I am covered.

Man, $1,400.00 a month for a family of 5 with a $9,000 deductible. the first $25,000 is on me.... what the hell do I need BCBS for?

We need to know the real cost of healthcare. These doctors like to think they are so smart, go and negotiate better rates from BCBS. Don't tell me that insurance covers my MRI and then send me a bill of $600.00. You negotiated these rates, take the payment
Posted by GetCocky11
Calgary, AB
Member since Oct 2012
53509 posts
Posted on 6/13/19 at 10:45 am to
quote:

These doctors like to think they are so smart, go and negotiate better rates from BCBS. Don't tell me that insurance covers my MRI and then send me a bill of $600.00. You negotiated these rates, take the payment



The doctors don't negotiate anything. Some MBA in an office that works for the doctor's group or hospital system negotiates it. I doubt the dr. even knows how much it costs.
Posted by Red Stick Tigress
Tiger Stadium
Member since Nov 2005
20172 posts
Posted on 6/13/19 at 10:46 am to
Can't imagine what mine would cost now.

I don't know how people can pay these high premiums.

When I was working, I had employer paid insurance, except for maybe $40/month.
Posted by Uncs
Member since Aug 2008
3080 posts
Posted on 6/13/19 at 11:10 am to
quote:

The doctors don't negotiate anything. Some MBA in an office that works for the doctor's group or hospital system negotiates it.


Who ever they send to do the negotiations that on them. They negotiate for access to the BCBS Network so they have those people coming in the door. Then they force you to sign the waiver that if it isnt covered its on you and then they inflate the price to whatever they want so they get extra money out of you. If that is not the case then why do they not have their prices plastered on the wall

quote:

I doubt the dr. even knows how much it costs.


You are absolutely crazy if you don't think the doctors know what they make every step of the way. They are the most money business minded people you have ever met!
Posted by Monday
Prairieville
Member since Mar 2013
5132 posts
Posted on 6/13/19 at 11:14 am to
quote:

If that is not the case then why do they not have their prices plastered on the wall

I think this is a case where some professions, like dentists, have a better mentality. You can get a check up from a dentist and if you are a cash payer, they can sometimes give you a "quote" for recommended services. The caveat, however, is that you must pay ahead of time and cannot get billed for that.


ETA: I'm not a dentist or work with or near any dentist. I had this situation arise and was able to pay cash for a set price for services.
This post was edited on 6/13/19 at 11:15 am
Posted by alajones
Huntsvegas
Member since Oct 2005
35722 posts
Posted on 6/13/19 at 11:26 am to
Wow. Struck a nerve there didn’t I. ’

I’m assuming all the other parishes that voted for increases are doomed.
This post was edited on 6/13/19 at 11:31 am
Posted by zakeeus
Baton Rouge
Member since Nov 2013
267 posts
Posted on 6/13/19 at 11:28 am to
I’m a foster parent, and every child in the system is on it. Most even after being adopted. After numerous doctor visits with the kids compared to the few I’ve taken when I get sick, I have to say I prefer the straightforwardness of Medicaid. My company provided insurance is generally regarded as good coverage.
Posted by Jim Rockford
Member since May 2011
104285 posts
Posted on 6/13/19 at 11:32 am to
quote:

If the deductible is this high, why even have insurance in the first place?





It keeps you out of medical bankruptcy is about all.
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
73124 posts
Posted on 6/13/19 at 11:40 am to
I have mixed thoughts on Medicaid, but what irks me is the talking point that mass Medicaid expansion “saves us money” by reducing ER usage.

There is ZERO evidence of this. The gold standard study out of Oregon didn’t find any decrease in EE usage nor any increase in health data among recipients
Posted by TigersSEC2010
Warren, Michigan
Member since Jan 2010
38158 posts
Posted on 6/13/19 at 11:47 am to
quote:

Are hospitals "really" losing money from Medicaid? Or are they not able to bill 300% of the actual procedure cost (which they made up in the first place)?



They're losing money. It costs an incredible amount of money to run a hospital and all of those costs are paid by private insurance. This is why so many private practices will no longer see Medicaid patients. Not only does it not pay anything, but they're by far the worst patients to deal with and it's not even close. If a doctor is having trouble with a patient, you can bet your arse it's a Medicaid recipient.

If you can't figure out what I mean, basically imagine your stereotypical EBT recipient in Wal-Mart and then imagine being a doctor trying to deal with their bullshite as they shop for pills.
This post was edited on 6/13/19 at 11:49 am
Posted by TigersSEC2010
Warren, Michigan
Member since Jan 2010
38158 posts
Posted on 6/13/19 at 11:48 am to
quote:

After numerous doctor visits with the kids compared to the few I’ve taken when I get sick, I have to say I prefer the straightforwardness of Medicaid.


It may be easy on your end, but the doctors are getting their arse handed to them.
Posted by shoestring
Member since Nov 2012
349 posts
Posted on 6/13/19 at 12:04 pm to
Some people have no idea what it takes to become a physician in this country. Keep screwing with their pay and I assure you the best and brightest minds will stop sacrificing 10 to 12 yrs of their lives to be educated on how to heal the sick.
Posted by Uncs
Member since Aug 2008
3080 posts
Posted on 6/13/19 at 12:23 pm to
quote:

Keep screwing with their pay and I assure you the best and brightest minds will stop sacrificing 10 to 12 yrs of their lives to be educated on how to heal the sick.




And this is why Mid levels will be the path to the future! PA's, NP'S will dominate the "Non critical in office visits" and then will be referred to "Surgeons"

Like 1-2 doctors over a team of 15-20 PA's. Already happening
Posted by Big Block Stingray
Top down on open road
Member since Feb 2009
2057 posts
Posted on 6/13/19 at 12:26 pm to
quote:

One-third of Louisiana's residents are enrolled in Medicaid


pathetic indeed...
This post was edited on 6/13/19 at 12:27 pm
Posted by Hoops
LA
Member since Jan 2013
7894 posts
Posted on 6/13/19 at 12:26 pm to
quote:

If you can't figure out what I mean, basically imagine your stereotypical EBT recipient in Wal-Mart and then imagine being a doctor trying to deal with their bullshite as they shop for pills.


Always “disabled” but never miss shite they want to do. Pain doctor? There. Pay a bill? My back hurt.
Posted by volod
Leesville, LA
Member since Jun 2014
5392 posts
Posted on 6/13/19 at 12:26 pm to
quote:

TigersSEC2010


I believe this is partially a domino effect based on cultural problems and not necessarily healthcare itself.

Think about it. Most self sufficient people will try to stay healthy or at the very least take calculated risks with their health.

Those people will typically work and have private insurance regardless. There are lower middle people on Medicaid, but if were being honest the majority on it are usually not going to increase their station in life.
Posted by TigersSEC2010
Warren, Michigan
Member since Jan 2010
38158 posts
Posted on 6/13/19 at 12:30 pm to
quote:

I believe this is partially a domino effect based on cultural problems and not necessarily healthcare itself.

Think about it. Most self sufficient people will try to stay healthy or at the very least take calculated risks with their health.

Those people will typically work and have private insurance regardless. There are lower middle people on Medicaid, but if were being honest the majority on it are usually not going to increase their station in life.


Correct. I believe a lot of it is the "I'm here for a good time, not a long time" attitude and they're not paying for it so why should they care who gets screwed?
Posted by TigersSEC2010
Warren, Michigan
Member since Jan 2010
38158 posts
Posted on 6/13/19 at 12:31 pm to
quote:

And this is why Mid levels will be the path to the future! PA's, NP'S will dominate the "Non critical in office visits" and then will be referred to "Surgeons"

Like 1-2 doctors over a team of 15-20 PA's. Already happening



Mid-levels are absolutely the future. Especially with more females enrolling in med school, we'll see a huge doctor shortage as they typically practice for a fraction of the time a male will practice.
Posted by TigersSEC2010
Warren, Michigan
Member since Jan 2010
38158 posts
Posted on 6/13/19 at 12:32 pm to
quote:

Some people have no idea what it takes to become a physician in this country. Keep screwing with their pay and I assure you the best and brightest minds will stop sacrificing 10 to 12 yrs of their lives to be educated on how to heal the sick.


I fully believe we're already beginning to see that. You can make way more in business than medicine.
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