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Posted on 1/15/26 at 2:56 pm to bigjoe1
I’m glad trump has come around to proposing something as compared to prior republicans who bring no good ideas to the table
I’m also glad that trump is no longer pushing a Chinese solution to our healthcare issues
I’m also glad that trump is no longer pushing a Chinese solution to our healthcare issues
Posted on 1/15/26 at 3:57 pm to Blizzard of Chizz
quote:
Pool them all together like you would a large company and offer competitive rates. This non sense of forcing people to pay 4 5 or 600 dollars or more a month with ridiculous deductibles for an insurance plan because they are an individual needs to end.
I am loving my $2,500 monthly premium. It's the tits!
Posted on 1/15/26 at 4:27 pm to bigjoe1
Anything less than the complete abolishment of Medicare/Medicaid/etc is unacceptable.
Posted on 1/15/26 at 4:33 pm to The Torch
quote:
Any profit should be returned
They did this for several year... something like 85% of premiums taken in were supposed to be spent on direct patient care. If they DIDN'T spend that, they they sent a check to everyone as a percentage of premiums paid to make up the shortfall of say.. 81% spent vs the mandated 85%. I believe they quit doing so a couple years back.
Posted on 1/15/26 at 4:34 pm to SoFla Tideroller
quote:
Anything less than the complete abolishment of Medicare/Medicaid/etc is unacceptable.
You truly are an imbecile if you think they will even ever consider abolishing Medicare.
Posted on 1/15/26 at 4:43 pm to SoFla Tideroller
quote:
Anything less than the complete abolishment of Medicare/Medicaid/etc is unacceptable.
LOL! Yeah right.
An absolutist position, such as “anything less than completely abolishing Medicare and Medicaid is unacceptable,” fails to acknowledge the integral role these programs play in the nation’s healthcare and economic frameworks. Medicare and Medicaid provide essential medical access for millions of older adults, individuals with disabilities, and low-income families. Eliminating these programs would result in immediate and severe repercussions for hospitals, long-term care facilities, and state budgets. Even advocates of substantial reform generally recognize that dismantling such extensive systems would create significant disruption.
A substantive discussion on healthcare reform must consider the scale, complexity, and human implications associated with these programs. Abolition cannot be treated as a simple policy change; rather, it would have profound consequences, particularly for society’s most vulnerable populations, and could reverberate throughout the broader economy. Constructive dialogue regarding healthcare costs should focus on pragmatic solutions instead of extreme measures like repealing Medicare or Medicaid. Given the size, integration, and importance of these programs, addressing cost concerns necessitates targeted strategies such as reducing administrative inefficiencies, promoting equitable prescription drug pricing, incentivizing value-based outcomes, strengthening preventive care, and enhancing oversight of rapidly expanding sectors like Medicare Advantage. These initiatives aim to improve system performance and sustainability without dismantling existing structures—offering the most viable path toward meaningful cost reduction while maintaining stability.
lity.
Posted on 1/15/26 at 4:49 pm to Nole Man
quote:
fails to acknowledge the integral role these programs play in the nation’s healthcare and economic frameworks.
The integral role of exponentially inflating the cost of health care? That is the only thing decades of these programs have accomplished. Well, that and lining doctors pockets.
It's almost like Democrats and leftists don't understand the concept that dumping trillions of dollars into one industry causes the costs and prices of goods and services in that industry. It's mind bottling how no one on the left can grasp that.
Posted on 1/15/26 at 4:56 pm to SoFla Tideroller
quote:
It's mind bottling
Posted on 1/15/26 at 4:56 pm to bigjoe1
Affordable healthcare and access are among the most important considerations facing Americans. I'm glad the topic is back on the table, but color me skeptical.
Meaningful healthcare reform is still urgently needed because the core problems Americans face haven’t changed, even though politicians have been floating “frameworks” and vague outlines since 2017. Premiums continue to rise faster than wages, prescription drug prices remain among the highest in the world, and millions of families depend on temporary ACA subsidies that Congress must repeatedly rescue to prevent major cost spikes. Rural hospitals are closing, long-term-care costs are exploding, and Medicare and Medicaid face real structural pressures that no slogan or outline has addressed.
Seems like the latest health-care announcement largely restates earlier proposals under the new name “The Great Healthcare Plan.” Reports indicate it is a general outline without legislative details, cost analysis, or clear implementation plans. While repeating goals like lower drug prices and protection for pre-existing conditions, it lacks specific execution strategies. Officials describe it as an early-stage framework, suggesting little substantive difference from past concepts.
I'll believe they're serious when it actually happens.
Meaningful healthcare reform is still urgently needed because the core problems Americans face haven’t changed, even though politicians have been floating “frameworks” and vague outlines since 2017. Premiums continue to rise faster than wages, prescription drug prices remain among the highest in the world, and millions of families depend on temporary ACA subsidies that Congress must repeatedly rescue to prevent major cost spikes. Rural hospitals are closing, long-term-care costs are exploding, and Medicare and Medicaid face real structural pressures that no slogan or outline has addressed.
Seems like the latest health-care announcement largely restates earlier proposals under the new name “The Great Healthcare Plan.” Reports indicate it is a general outline without legislative details, cost analysis, or clear implementation plans. While repeating goals like lower drug prices and protection for pre-existing conditions, it lacks specific execution strategies. Officials describe it as an early-stage framework, suggesting little substantive difference from past concepts.
I'll believe they're serious when it actually happens.
This post was edited on 1/15/26 at 4:57 pm
Posted on 1/15/26 at 4:57 pm to bigjoe1
Plan; Get government the frick out of healthcare.
Problem solved.
Problem solved.
Posted on 1/15/26 at 5:02 pm to SoFla Tideroller
Medicare and Medicaid aren’t going anywhere — that’s just the reality. They’re too deeply embedded in the healthcare system, too essential for seniors, people with disabilities, and low-income families, and too central to hospital financing for either party to realistically eliminate them. The real debate isn’t about whether these programs should exist, but about how to manage their rising costs, strengthen their long-term sustainability, and modernize the way care is delivered.
Prescription drug costs are a major factor behind rising expenses, and federal proposals like most-favored-nation pricing and expanded rebate programs are designed to make Medicare and Medicaid pay less for expensive medications. States are also implementing effective Medicaid measures such as value-based payments, stricter care coordination, and targeted waivers to cut down on unnecessary hospital stays and improve patient outcomes, which helps lower long-term costs. By enhancing oversight of payment models tested by the Center for Medicare and Medicaid Innovation, it’s possible to further reduce waste and encourage efficiency. Importantly, these strategies do not require cutting benefits—they target inflated prices, reduce inefficiencies, and improve care delivery, which helps save money for taxpayers while protecting program beneficiaries.s.
Prescription drug costs are a major factor behind rising expenses, and federal proposals like most-favored-nation pricing and expanded rebate programs are designed to make Medicare and Medicaid pay less for expensive medications. States are also implementing effective Medicaid measures such as value-based payments, stricter care coordination, and targeted waivers to cut down on unnecessary hospital stays and improve patient outcomes, which helps lower long-term costs. By enhancing oversight of payment models tested by the Center for Medicare and Medicaid Innovation, it’s possible to further reduce waste and encourage efficiency. Importantly, these strategies do not require cutting benefits—they target inflated prices, reduce inefficiencies, and improve care delivery, which helps save money for taxpayers while protecting program beneficiaries.s.
Posted on 1/15/26 at 5:03 pm to Privateer 2007
quote:
Force hospitals to cut admin staff jobs.
Cut pay across the board.
As long as insurance companies require every line item charge to be coded (HIPAA codes), the admin people that handle this for providers are greatly needed. You cut their jobs and insurance companies will just deny more claims.
Posted on 1/15/26 at 5:55 pm to Nole Man
quote:
By enhancing oversight of payment models tested by the Center for Medicare and Medicaid Innovation,
I'm sure Lucy isn't going to pull away the football this time...
Posted on 1/15/26 at 6:07 pm to Bigdawgb
quote:
At the risk of writing a book, I can tell you that this has already happened & was a brutally difficult adjustment for most medical groups. Even top quartile performing hospitals have been running a negative profit margin the last few years according to MGMA & the HFMA.
What happened is that the CMS table reimbursement decreased several years in a row under Biden. The wRVU credit received for many routine procedures also INCREASED, (by 25%+ in Primary Care, Psych, and Surg Oncology) meaning that providers compensated on a production basis (wRVUs) are now earning massive bonuses.
While compensation plans have tried to adjust, there's not much incentive for physicians to sign new, crappie employment agreements. And health systems, already dealing with constant physician shortages, don't really have the cards to say "sign the new contract or else"
Provider salaries dwarf admin staff, there is simply not as much fat to cut as you're thinking. Hospitals are small potatoes in the overall Healthcare industry.
Insurance & pharma companies are who you're looking for
100% correct. I get less than I did in 2005. Every hospital I deal with is in financial distress. Most every clinic I know of is strapped and losing employees to other industries. We've been cut to the bone. I refuse to take anymore cuts. I'll simply go cash only.
Whoever downvoted the post is a dumbass.
Posted on 1/15/26 at 6:10 pm to MemphisGuy
quote:
They did this for several year... something like 85% of premiums taken in were supposed to be spent on direct patient care. If they DIDN'T spend that, they they sent a check to everyone as a percentage of premiums paid to make up the shortfall of say.. 81% spent vs the mandated 85%. I believe they quit doing so a couple years back.
They send it on to their PBM's and other entities they own.
Posted on 1/15/26 at 6:10 pm to bigjoe1
quote:
As part of those deals, companies also agreed to sell some medicines at a discount on Trump’s direct-to-consumer platform, Trump Rx.
Does this bother anyone else?
Posted on 1/15/26 at 6:12 pm to Bigdawgb
quote:
The wRVU credit received for many routine procedures also INCREASED, (by 25%+ in Primary Care, Psych, and Surg Oncology) meaning that providers compensated on a production basis (wRVUs) are now earning massive bonuses.
Which ones? All mine got cut big time. Seriously, all I've seen is cuts across the board.
Posted on 1/15/26 at 6:13 pm to nealnan8
quote:
As long as insurance companies require every line item charge to be coded (HIPAA codes), the admin people that handle this for providers are greatly needed.
Utter nonsense
Posted on 1/15/26 at 6:20 pm to onmymedicalgrind
Why are there charges for 50 dollar band aids?
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