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Obamacare failing on purpose?

Obamacare failing on purpose?

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by: MarT Active Indicator LED Icon 9 OP 
~ 7 years ago   May 31, '16 9:50am  
www.forbes.com/sites /sallypipes/2016/05/ 30/obamacare-is-fail ing-on-purpose/ could see them trying to backdoor single payer this way.  4951
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TexasOma Active Indicator LED Icon 14
~ 7 years ago   May 31, '16 9:55am  
www.forbes.com/sites /sallypipes/2016/05/ 30/obamacare-is-fail ing-on-purpose/ could see them trying to backdoor single payer this way. 
 
@MarT:
 
That's what the plan has been all along. First they had to upset the apple cart and shove that crap down everyone's throat. Then the insurance companies pull out and the individuals can't pay... Next is the big shove off the cliff!
 
THANK YOU DEMOCRATS!😠 4951
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frebu Active Indicator LED Icon 3
~ 7 years ago   May 31, '16 1:33pm  

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>> www.forbes.com/sites /sallypipes/2016/05/ 30/obamacare-is-fail ing-on-purpose/ could see them trying to backdoor single payer this way. 
 
@MarT:
 
That's what the plan has been all along. First they had to upset the apple cart and shove that crap down everyone's throat. Then the insurance companies pull out and the individuals can't pay... Next is the big shove off the cliff!
 
THANK YOU DEMOCRATS!😠
 
@TexasOma: Next big shove is to tackle hospitals who have hiked prices up to insane amounts, so much so that it is often cheaper to get a not covered operation in other first world countries even when you calculate airfare and lodgings. 40 dollars for a 2 dollar tube? Only in America, home of the "I cant afford to get proper care so I'm just going to hope it goes away" mentality! Hospitals have become money vacuums that not even insurance companies can compete with, they have no regulation on what fees they can tack on or how much they can increase the price of things which is why insurance companies are bleeding money............
4951
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BooBear Active Indicator LED Icon 16
~ 7 years ago   May 31, '16 1:42pm  
they have no regulation on what fees they can tack on or how much they can increase the price of things which is why insurance companies are bleeding money............
 
@frebu:
Not exactly true..they contract with the hospital on the amounts they can charge..the hospitals agree to be reimbursed a specific amount and agree that the insurance company will only pay a certain amount..that $40 aspirin was agreed to in advance. They can bill insurance companies whatever they want but will only collect what they are contractually allowed.
 
A big problem is people NOT paying at all. That causes hospitals to over treat the insured to make up the loss.
4951
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BooBear Active Indicator LED Icon 16
~ 7 years ago   May 31, '16 1:47pm  
Obama care has made the problem exponentially worse and everyone finally agrees..maybe we can actually fix it now but big pharma and durable goods needs to be in the new plan. Leaving them out does NOTHING to help the system. 4951
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Mrep43 Active Indicator LED Icon 2
~ 7 years ago   May 31, '16 1:48pm  
@BooBearYou nailed it. Thanks for a very accurate and intelligent post.  4951
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Maisey1 Active Indicator LED Icon 9
~ 7 years ago   May 31, '16 1:51pm  

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>> they have no regulation on what fees they can tack on or how much they can increase the price of things which is why insurance companies are bleeding money............
 
@frebu:
Not exactly true..they contract with the hospital on the amounts they can charge..the hospitals agree to be reimbursed a specific amount and agree that the insurance company will only pay a certain amount..that $40 aspirin was agreed to in advance. They can bill insurance companies whatever they want but will only collect what they are contractually allowed.
 
A big problem is people NOT paying at all. That causes hospitals to over treat the insured to make up the loss.
 
@BooBear: I am amazed at the number of people who don't pay their bills. They spend 9 months with their dr monitoring the progress of of their pregnancy and baby then as soon as the baby comes out - see ya! thanks for all your hard work but I'm not paying you.  They are the same ones that complain because we want to collect a deposit from them...
4951
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Stealth83 Active Indicator LED Icon 16
~ 7 years ago   May 31, '16 1:54pm  
Removed By Request 4951
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TEXASGIRLMAMMA Active Indicator LED Icon 10
~ 7 years ago   May 31, '16 3:33pm  
www.forbes.com/sites /sallypipes/201 I could see them trying to backdoor single payer this way. 
@MarT:   I think that was the plan from the beginning.   They have always wanted single payer so they can have more control over what services they will let us have.  
4951
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frebu Active Indicator LED Icon 3
~ 7 years ago   May 31, '16 4:10pm  
Honestly that is not how contracts with hospitals work.1. payment structures are typically based upon current Medicare APR-DRG rates (these are rates based upon standardize care).   The hospital chargemaster really means nothing when it comes to payment - the only time the charges matter is when it is self pay or paid by either workers comp or auto coverage.  2. outpatient charges (ER, lab, radiology) are typically either a flat rate or a % of billed charges.  Again they don't care about specific line items, just the overall cost.Cost that impact hospitals - the number 1 is malpractice coverage - the simple cost of doing business.  Hospitals follow a standard procedure for everyone that presents with symptoms in order to prevent malpractice cases.  Basically they run tests not really needed to prevent lawsuits.  That drives up everyone's care.People using the ER as a primary care.  Everyone does it.  Everyone goes to an ER thinking it's better and faster. It's not.  It's typically NOT the right place for most people to go.  But educating folks about this is like talking to rocks.But hey, keep thinking what you do
 
@Stealth83: Lemme know when that actual works out. Anybody who has been in the middle of a big bill between a hospital and an insurance company can attest the typically means very little to both parties and the insured usually gets screwed either way. Hospitals groups often have regional control(i.e. they own .As for the biggest reason for high cost transfer being unpaid bills.........uh......see my post for the reason they are not paying. When you gouge the hell out of people for everyday things, they can't pay you. Giving birth in the united states is ridiculously expensive anywhere between 20k-100k depending on the ease of birth, people simply don't have that kind of money so when you charge it......they cant and wont pay it. Should people pay their bills? For sure, but even if you budget and save the hospital balloon can screw you in a heart beat. 4951
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TexasOma Active Indicator LED Icon 14
~ 7 years ago   May 31, '16 4:43pm  
Obama care has made the problem exponentially worse and everyone finally agrees..maybe we can actually fix it now but big pharma and durable goods needs to be in the new plan. Leaving them out does NOTHING to help the system.
 
@BooBear:
 
Exactly, and to your comment above this one.
 
DME (durable medical equipment) is charged at OUTRAGEOUS prices. I needed a knee brace 2 years ago, before I got my knee surgery. It was free to me because of medicare, but I later found out how much medicare paid for the brace... $175.00. Right after I got that brace but before I found out the cost to the clinic, I went to Walgreens and Walmart to get a second so I could alternate & wash the sweat out daily. Walgreens wanted $30. & Walmart wanted $20. Both places the braces were comparable to the one from the clinic.
 
When I was in home health, medicaid patients were allowed to have diapers and chucks, medicaid reimburses these DME companies way above what the cost of disorders and chucks at about 4 times what the person could spend at a local discount store. Why doesn't medicaid and medicare cut out the middle man and issue a debit card for just those approved items at a store if their choice?
 
Pharmaceuticals are thru the roof! Old line medicines have had their patents bought up by speculators who jack the prices up...like the AIDS drug last year was raised 5,000%. That **** needs to stop. I take a blood pressure medicine and I pay $10.00 for it, but on the receipt it says the insurance paid $150. WHY? JUST WHY? This med is an old med, been around for ages. It should be super cheap!
 

4951
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HollyHobby Active Indicator LED Icon 9
~ 7 years ago   May 31, '16 4:54pm  
[quote-end-tag-mismatch]
 
@Stealth83: Lemme know when that actual works out. Anybody who has been in the middle of a big bill between a hospital and an insurance company can attest the typically means very little to both parties and the insured usually gets screwed either way. Hospitals groups often have regional control(i.e. they own .As for the biggest reason for high cost transfer being unpaid bills.........uh......see my post for the reason they are not paying. When you gouge the hell out of people for everyday things, they can't pay you. Giving birth in the united states is ridiculously expensive anywhere between 20k-100k depending on the ease of birth, people simply don't have that kind of money so when you charge it......they cant and wont pay it. Should people pay their bills? For sure, but even if you budget and save the hospital balloon can screw you in a heart beat.[quote-end-tag-mismatch]
 
@frebu:  My experience with Kingwood Medical is a classic example of how things really work. We went in with a doctor's order for a simple, external ultrasound. Bill arrived: $3880. I knew damn well an ultrasound should cost maybe a couple hundred dollars.Ultimately, they "settled" with me for about $1200 but part of that bill was for another scan that wasn't ordered by her doctor. I was told that it was part of their "protocol". So that accounted for $1700, even though some hospital committee decided it was automatically a part of every ultrasound. I just found out from an u/s tech that the second procedure uses the same equipment, they just push a couple of different buttons.  When I talked with a customer service rep with KMC she told me, "Your insurance company TOLD US to bill you $2500 for the ultrasound." That was a lie. My insurance company sets a LIMIT but that is hardly a directive. 9 months of headaches and, yes, Obamacare plays a big part in this. The health insurance system was messed up to begin with but now it's even more so. With bills like ours for such a simple procedure -- it's utterly insane. I went to Affordable Ultrasound in Houston last week -- a straightforward $90 per ultrasound. $184 and I was out the door. That's how this SHOULD work.
4951
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