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Moron alert.
The subsidies are to help the insureds to pay their Premiums BECAUSE the costs went up so much...you are quite stupid Jake.
You, my friend, as normally, can't think clearly.
The costs if up, and the subsidies make up for that difference, will put $$$ in the doctors' pockets.
Jake, that just isn't how it works. Providers are paid via the terms of their contracts with insurance companies. It's not as if extra magic dollar bills come down from subsidies and go straight into a doctor's pockets above and beyond that. Insurance company reimbursements to providers and ACA subsidies TO insurance companies for patients are two entirely different things. Not even close. Not in the same zip code.
And most importantly, the insurance companies have long since calculated anticipated subsidies when creating, negotiating and completing their contracts with the providers, so the payments to the providers are set in stone. There are going to be PLENTY of times in which the docs are going to be seeing patients at a loss, especially with the fucking FLOOD of Medicaid patients headed their way. You MUST know that. And worse, their calculations are based on information provided by HHS, which bases its calculations on the ACA, which apparently based its calculations on a tequila party and a Quija™ board. You're not even close here. .
If the payment is below net cost, the provider is losing money on each visit and/or service.
You don't make that up with volume. AAAAUUUUGGGGGHHHHH .
They will certainly not be below net cost: you can't even make an argument for that.
But it will be a great brake for cost containment.
That is what you are crying about.
As I made as simple as I could in post #22, providers and provider groups work off of negotiated contracts. Often they will drop insurers when the net benefits of the plan (and there's a ton of variables in any given provider contract) drop below the standards and thresholds of the provider or group. This is just the way it works, every single day.
I realize you have some obligation to defend this horrific law, Jake, but you're making points based on pure thin air. There are going to be providers who are not going to accept plans in the ACA because they make no economic sense for them to do so. Plus, now, the providers know damn well they're going to be flooded with low-LOW-reimbursement Medicaid cases. This is going to get worse, regardless of your denials.
I don't know how much more plain I can make it, but I strongly suggest you'll deny it based on, well, whatever it is you're basing this stuff.
.
I am presuming this board has went over the notion that this ACA is a single payer trojan horse, right?
That is certainly what it appears to be more and more.
It is either that, or this is the most incompetent group of morons that has ever taken office in this country. I am tempted to think that they are that incompetent. However, assuming these ivy league egg heads have an actual education, then it is more likely that this is deliberate. Meaning, they are looking to back door the single payer that they all truly want (like the commies they are under the Saul Alinsky plan). They knew they could not get it past congress the other way, so they passed this sham called Obamacare. Knowing it would such an unmitigated disaster, they implement the single payer cause there will be little choice. The country will take anything rather than this ACA thing.
Has this board discusses this possibility?
You, my friend, as normally, can't think clearly.
The costs if up, and the subsidies make up for that difference, will put $$$ in the doctors' pockets.
Jake, that just isn't how it works. Providers are paid via the terms of their contracts with insurance companies. It's not as if extra magic dollar bills come down from subsidies and go straight into a doctor's pockets above and beyond that. Insurance company reimbursements to providers and ACA subsidies TO insurance companies for patients are two entirely different things. Not even close. Not in the same zip code.
And most importantly, the insurance companies have long since calculated anticipated subsidies when creating, negotiating and completing their contracts with the providers, so the payments to the providers are set in stone. There are going to be PLENTY of times in which the docs are going to be seeing patients at a loss, especially with the fucking FLOOD of Medicaid patients headed their way. You MUST know that. And worse, their calculations are based on information provided by HHS, which bases its calculations on the ACA, which apparently based its calculations on a tequila party and a Quija board. You're not even close here. .
More reactionary 'fuzzy logic.' The doctors will participate because they will make profit. That's how those insurance calculations are made. What they will not make is obscene profit.
this could be a disaster given Ca. demography
Naw.
The next step will be the government finding a way to force providers to take plans even if they're losing money on every patient.
Would anyone here be surprised?
.
this could be a disaster given Ca. demography
Naw.
The next step will be the government finding a way to force providers to take plans even if they're losing money on every patient.
Would anyone here be surprised?
.
No, not at all. This administration is taking matters into their own hands. You can't trust the government anymore, especially the executive branch and the minions at hand.
SNIP:
Some physicians have been put in the network and they were included basically without their permission, Lisa Folberg said. She is a CMAs vice president of medical and regulatory Policy.
They may be listed as actually participating, but not of their own volition,
70% Of Calfornia's Doctors Expected To Boycott Obamacare | Zero Hedge
someone should ask jay corny a question regarding this mess, something like,,,Jay, how will Obama-Care work in California if 70% of all doctors are planning to relocate to other states?
BTW, the paperwork is as much, or sometimes, even MORE important in the physicians refusal to accept obamacare.
Why would the paperwork be more than it was with any other insurance company? You're just creating problems here.
no, my ignorant, living in a box Sarah.
anything connected to the government - IS much more paperwork.anything. obamacare is a great disaster for ANY physician and to expect that anybody would want to tie himself/herself up to it is ridiculous.
Many established ones don't even want to take Medicare, although that at least reimburses decently.
But the bureaucratic nightmare... now it is the demand for EMR - which has increased serious mistakes already.
someone should ask jay corny a question regarding this mess, something like,,,Jay, how will Obama-Care work in California if 70% of all doctors are planning to relocate to other states?
You are making the same mistake a lot of people are making. The doctors aren't planning to leave. Nor are they planning on not being doctors any more. Although, a substantial number of older doctors are planning an early retirement. They aren't giving up the practice of medicine. They are just not going to accept obamacare insurance. They will do something else. They will go to work as a salaried doctor at a hospital, or go to an all cash private practice, or join a concierge cooperative. They don't have to take insurance at all if they don't want to. Most plastic surgery isn't covered by insurance. There's no shortage of cash up front plastic surgeons or patients to operate on.
Of course I, for one, can't see why anyone would want our Govt running HC in this country.
This is desired by those who have been long been bought. The poor class, which holds a large block of votes.
This is where the real problem lies. Believe it or not, voting has never been a constitutional right. That is right, and there is an actual reason for why certain people should not have that right. (watch folks, the left will automatically think I am talking about minorities only) The over all problem lies in the fact that we have ignorance voting. People who have no clue about the issues, but vote for those who they think will give them "free gifts."
Health care is one of those things, and they have been bamboozled into thinking (through clever rhetoric and complicate socialist media (entertainment industry) that the health care (Obamacare) was going to be FREE. The democrats have done a great job in blaming "corporations" and have turned the insurance companies in the big bad wolf. The perpetual victims remain in their state, and nothing will change it. Since, our education system (public education) are nothing more than brainwashing centers, dominated by teachers who are as left as anyone.
Personally, I think if a person is on welfare of any of the government programs, they should not be able to vote. There is a real conflict of interest. Of course, that notion would be met by the so called victims as me being totally racist. As though it is only blacks or hispanics or benefit from the "social programs."
The government wants the power that the people have. The government do not want to be elected "representatives." Our president has never been an elected king. This has frustrated many presidents. Dating back to Thomas Jefferson, who hated the presidency so much that he had it left off of his tomb stone that he was ever president.
Again, this is about we the people versus the government. Our liberties are being stripped and the government more and more is pressing the thumb on our heads. The ignorant on the left are virtually completely brainwashed. We are witnesses to the death of the country, cause the liberty of the people is being torn away with loud cheers.
When the paperwork triples and the payment schemes are 40 cents on the dollar, it is poor business practice to accept them.As there is not a left wing loon (working without talking points) with the capacity to refute the article...I will do it for him. for the sake of fair discussion.
The quote is from Insurance Bokers who foresee that the government will soon take their jobs.
Doesn't mean they are Liars (like our president)...just means they are prejudice...like every body in Obama's huge propaganda machine. The Citizens (and the Congress) have just about given up trying to get the Truth out of this White House.
Things are so partisan that an American despairs of getting the Truth about anything.
It's not partisan in this case, it's business and the doctors will not refuse patients. They're paying customers.
When the paperwork triples and the payment schemes are 40 cents on the dollar, it is poor business practice to accept them.It's not partisan in this case, it's business and the doctors will not refuse patients. They're paying customers.
The exchanges are nothing more than markets for private insurance companies to sell policies in.
You, my friend, as normally, can't think clearly.
The costs if up, and the subsidies make up for that difference, will put $$$ in the doctors' pockets.
Jake, that just isn't how it works. Providers are paid via the terms of their contracts with insurance companies. It's not as if extra magic dollar bills come down from subsidies and go straight into a doctor's pockets above and beyond that. Insurance company reimbursements to providers and ACA subsidies TO insurance companies for patients are two entirely different things. Not even close. Not in the same zip code.
And most importantly, the insurance companies have long since calculated anticipated subsidies when creating, negotiating and completing their contracts with the providers, so the payments to the providers are set in stone. There are going to be PLENTY of times in which the docs are going to be seeing patients at a loss, especially with the fucking FLOOD of Medicaid patients headed their way. You MUST know that. And worse, their calculations are based on information provided by HHS, which bases its calculations on the ACA, which apparently based its calculations on a tequila party and a Quija™ board. You're not even close here. .
More reactionary 'fuzzy logic.' The doctors will participate because they will make profit. That's how those insurance calculations are made. What they will not make is obscene profit.
someone should ask jay corny a question regarding this mess, something like,,,Jay, how will Obama-Care work in California if 70% of all doctors are planning to relocate to other states?
You are making the same mistake a lot of people are making. The doctors aren't planning to leave. Nor are they planning on not being doctors any more. Although, a substantial number of older doctors are planning an early retirement. They aren't giving up the practice of medicine. They are just not going to accept obamacare insurance. They will do something else. They will go to work as a salaried doctor at a hospital, or go to an all cash private practice, or join a concierge cooperative. They don't have to take insurance at all if they don't want to. Most plastic surgery isn't covered by insurance. There's no shortage of cash up front plastic surgeons or patients to operate on.
valid points. I think we are going to see a lot of medical co-ops if obozocare survives. You will pay a monthly fee and get your healthcare from a co-op that does not have to deal with insurance, medicare, medicaid, or any other govt bullshit.
California's state-run Obamacare health insurance exchange, Covered California, is touted by the Obama administration as a model of the policy's success. That was, in fact, the political strategy all along, as Obama's non-profit organization, Organizing for Action, focused on helping California's rollout effort. But in addition to inflated web traffic numbers and privacy concerns, Covered California now faces an acute doctor shortage.
An estimated 70% of California doctors will not participate in the Obamacare-compliant health insurance policies offered by Covered California, according to the California Medical Association, as reported by the Washington Examiner. Though Covered California claims that 85% of doctors will participate, many doctors listed as participating are expected to decline payment, having learned that reimbursements will be very low.
this could be a disaster given Ca. demography
Omg, you and Breitbart are so full of shit. California has state exchanges that have been very organized. 70% is kind of an out there number.
The state exchange is organized into getting people to sign up. This doesn't mean that there are medical providers just because people have signed up.
Most specialists won't take obamacare, get ready to take out a mortgage on your home if you need heart surgery.
Obama & Co will resort to the Old Bolshevik strategy of using either the rifle butt or the rifle barrel to ensure compliance. The guys currently saying they are opting out already have their testicles cut off and sewn to their lips but they don't know it.
Licensure will guarantee compliance. You need a government issue DEA number to order controlled substances for your patients. A shrink will not be able to treat anyone with ADHD, an ENT will not be able to order pain meds for their patients with ear or sinus infections, an orthopedic specialist will not be able to order pain meds for a patient with a broken bone, nor will an oncologist be able to treat the pain of the terminally ill. You will participate or you won't work, whether you get paid or not. Its all part of Comrade Baracks income redistribution plan, your salary as an MD has now been cut from $250,000/ year to $37,000, about the same as an illegal immigrant Mexican carpenter's.
Meanwhile Comrade Barack, when he goes through a crowd shaking hands will still have the ladies shrieking "He's going to pay for my groceries" and when he speaks, the ladies will still be having their orgasms like in the gold ole days back in Denver when they took multiple garbage dumpster loads of still freshly warm, still freshly moist media network logo emblazoned intimate undergarments off the stage of the Faux Greek Temple after Comrade Barack finished his nomination acceptance speech..
