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Message

re: Louisiana Medicaid projected $650,000,000 under budget for FY

Posted on 12/7/17 at 6:08 pm to
Posted by OpenYourEyesSheeple
Member since Dec 2017
38 posts
Posted on 12/7/17 at 6:08 pm to
quote:

Medicare and Medicaid then bankrupt hospitals by not baying full reimbursement rates for their patients.


Medicare is the standard for reimbursement. Everyone accepts Medicare.
Posted by BBONDS25
Member since Mar 2008
48298 posts
Posted on 12/7/17 at 6:10 pm to
quote:

Indeed. I would gladly take a pay cut to have single payer system and be a doctor who doesn’t have their hands tied by insurance companies. Insurance companies suck billions out the health care industry in profits without providing any services. You understand that is a problem right?
m
You will change your mind when you aren't low man on the totem pole.
Posted by OpenYourEyesSheeple
Member since Dec 2017
38 posts
Posted on 12/7/17 at 6:12 pm to
quote:

You do realize you posted that link in defense of your point that ER visits were down due to the expansion?


My point is uninsured ER visits are down due to expansion. Uninsured ER visits are what drains the hospitals resources. Second link proved uninsured ER visits are down. I’m not sure why you’re finding this so difficult to comprehend.
Posted by bhtigerfan
Baton Rouge
Member since Sep 2008
29438 posts
Posted on 12/7/17 at 6:12 pm to
quote:

“Our results suggest that the coverage part of the ACA Medicaid expansion is working,” Nikpay said. “People who need care can access care. However, it isn’t surprising that emergency department visits didn’t fall because even if you gained Medicaid coverage, the ACA did little to make primary care more accessible, for example, offering evening and weekend hours.”
Posted by BBONDS25
Member since Mar 2008
48298 posts
Posted on 12/7/17 at 6:12 pm to
quote:

Medicare is the standard for reimbursement.


Oh my.
Posted by roadGator
Member since Feb 2009
140383 posts
Posted on 12/7/17 at 6:13 pm to
Medicaid doesn't own assets. Interesting.
Posted by Lakeboy7
New Orleans
Member since Jul 2011
23965 posts
Posted on 12/7/17 at 6:13 pm to
quote:

Amazing what happens when people get access to primary care instead of flooding the ER. But what do I know, I’m only 4 years out of medical school.



Not reading the dumbassery in this thread but for a poor, dumb state medicare expansion saves money. Not many here will admit that.
Posted by CoachChappy
Member since May 2013
32535 posts
Posted on 12/7/17 at 6:15 pm to
quote:

My point is uninsured ER visits are down due to expansion.

Well yeah when you expand Medicaid
quote:

Uninsured ER visits are what drains the hospitals resources.

Yes, and so do Medicaid patients as reimbursement are usually terribly slow and not in full for services rendered. Also, I as a tax payer am paying for this expansion.
Posted by the808bass
The Lou
Member since Oct 2012
111515 posts
Posted on 12/7/17 at 6:15 pm to
quote:

Uninsured ER visits are what drains the hospitals resources.


False. Uninsured pts pay a higher rate and total dollars more than Medicaid pts do.
Posted by roadGator
Member since Feb 2009
140383 posts
Posted on 12/7/17 at 6:16 pm to
quote:

Everyone accepts Medicare.


Nope
Posted by OpenYourEyesSheeple
Member since Dec 2017
38 posts
Posted on 12/7/17 at 6:17 pm to
quote:

False. Uninsured pts pay a higher rate and total dollars more than Medicaid pts do.


False. 90+% of uninsured patients never have payments collected.
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
69289 posts
Posted on 12/7/17 at 6:17 pm to
Wait.....are you under the impression that Medicaid insurance is free?

If a Medicaid patient goes to the ER, his treatment is not cheaper than an uninsured patient. The difference is the taxpayer is paying the copay
Posted by CoachChappy
Member since May 2013
32535 posts
Posted on 12/7/17 at 6:20 pm to
quote:

False. 90+% of uninsured patients never have payments collected.

No one is this ignorant of the real world applications of Medicaid therefore...

You are an alter having fun which makes you a nerd or a college kid who just joined College Dems and are spouting what you are being told which also makes you a nerd

Either way......

Posted by kingbob
Sorrento, LA
Member since Nov 2010
67079 posts
Posted on 12/7/17 at 6:25 pm to
quote:

False. Uninsured pts pay a higher rate and total dollars more than Medicaid pts do.


Well, this is only half true. Uninsured patients do pay a higher rate than medicaid WHEN THEY PAY!

The problem is the uninsured indigent who receives services at the ER and then never pays. The whole medical system is like a snake that swallowed an antelope. Every portion of the system just keeps shifting costs and bilking people to shoulder the costs of two groups: indigents at the ER (federal unfunded mandate levied by EMTALA), and those with chronic illness in the final two months of life.

Medicare, Medicaid, insurance, ridiculous medical bills, etc are all being used to cover those costs.

The other big cost driver is prescription drugs thanks to tons of crony FDA medical trials f&%kery.
This post was edited on 12/7/17 at 6:27 pm
Posted by OpenYourEyesSheeple
Member since Dec 2017
38 posts
Posted on 12/7/17 at 6:27 pm to
quote:

No one is this ignorant of the real world applications of Medicaid therefore... You are an alter having fun which makes you a nerd or a college kid who just joined College Dems and are spouting what you are being told which also makes you a nerd Either way......


Yeah I’m an MD so proud to be a nerd. Hope your doctor is too. How am I gonna survive being picked on by CoachClappy at TD? Lmao
Posted by kingbob
Sorrento, LA
Member since Nov 2010
67079 posts
Posted on 12/7/17 at 6:28 pm to
You're hopeless, dude
This post was edited on 12/7/17 at 6:30 pm
Posted by OpenYourEyesSheeple
Member since Dec 2017
38 posts
Posted on 12/7/17 at 6:31 pm to
quote:

You're hopeless, dude


Shame on me choosing a career for altruistic reasons.
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
69289 posts
Posted on 12/7/17 at 6:32 pm to
Nothing is stopping you from charging zero for services
Posted by kingbob
Sorrento, LA
Member since Nov 2010
67079 posts
Posted on 12/7/17 at 6:33 pm to
quote:

Shame on me choosing a career for altruistic reasons.



Oh, there's nothing wrong with your career path or your motivations. I am purely throwing shade on your understanding of how money flows through our governmental healthcare and insurance system and your general complete ignorance of life, history, and human nature in general.
Posted by CheniereTiger108
Member since Jul 2014
1609 posts
Posted on 12/7/17 at 6:33 pm to
BIngo- like most doctors, he’s totally unaware of insurance reimbursements and how they work.

If we went to single payer, he’d be the first in line screaming about not making enough money to pay off his medical school student loans.
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