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Louisana Blue leads the way...

Posted on 2/14/14 at 3:55 pm
Posted by speckledtrout
Birmingham, AL
Member since Apr 2011
2035 posts
Posted on 2/14/14 at 3:55 pm
Posted by BR Tiger
Baton Rouge
Member since Mar 2004
4157 posts
Posted on 2/14/14 at 4:00 pm to
Hate to tell you, but this has absolutely nothing to do with obamacare.
Posted by BobBoucher
Member since Jan 2008
16716 posts
Posted on 2/14/14 at 4:02 pm to
quote:

Hate to tell you, but this has absolutely nothing to do with obamacare.


just like the Colorado state employee caught with healthcare fraud.

But it furthers the anti-obamcare narrative.

Posted by Zach
Gizmonic Institute
Member since May 2005
112421 posts
Posted on 2/14/14 at 4:03 pm to
quote:

Hate to tell you, but this has absolutely nothing to do with obamacare.


Sooo, why don't you explain it instead of making a naked assertion?
Posted by TigerTattle
Out of Town
Member since Sep 2007
6623 posts
Posted on 2/14/14 at 4:04 pm to
I'm confused. I think Ryan White payments are from a government program that provides a subsidy based on poverty level guidelines to pay for insurance or treatment not covered by the insurance.

Obamacare also provides subsidies based on poverty level guidelines to pay for insurance that is supposed to cover treatment for any illness, including HIV/AIDS.

So wouldn't using Ryan White subsidies to pay for subsidized Obamacare sort of be double-dipping?
Posted by speckledtrout
Birmingham, AL
Member since Apr 2011
2035 posts
Posted on 2/14/14 at 4:09 pm to
quote:

"The worry was that a hospital, for instance, would sign up and pay (Obamacare) premiums for their uninsured patients," said law professor Mark Hall of Wake Forest University. If a hospital also steered patients toward an insurer that includes it in its network, the hospital would turn a charity patient into a paying one, something CMS regards as a form of prohibited self-dealing.


Posted by BigJim
Baton Rouge
Member since Jan 2010
14485 posts
Posted on 2/14/14 at 4:15 pm to
quote:

Hate to tell you, but this has absolutely nothing to do with obamacare


You should really read the article. It is well-written and ihmo, balanced.

This is an interesting issues with competing interests. Helping those with AIDS on the one hand, and preventing fraud and abuse on the other.

I hope they (CMS) can thread this needle and soon.

And it very much has to do with Obamacare.
Posted by MSMHater
Houston
Member since Oct 2008
22774 posts
Posted on 2/14/14 at 4:16 pm to
quote:


"The worry was that a hospital, for instance, would sign up and pay (Obamacare) premiums for their uninsured patients," said law professor Mark Hall of Wake Forest University. If a hospital also steered patients toward an insurer that includes it in its network, the hospital would turn a charity patient into a paying one, something CMS regards as a form of prohibited self-dealing.


Wait a minute. So it's preferable that the patient remain uninsured and untreated, rather than have a hospital pay the premium and then...**GASP**...profit from it?

ETA: I understand the Stark implications this raises and its potential for abuse, but for specfic, dibilitating disease groups this is not an unreasonable solution. Who else has the incentive to pay their premiums if the patients can't?

This post was edited on 2/14/14 at 4:19 pm
Posted by Traffic Circle
Down the Rabbit Hole
Member since Nov 2013
4237 posts
Posted on 2/14/14 at 5:39 pm to
Paying and insured always seems better than treated for free.
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