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[NLXSK1]

Medicare pays within 3 weeks
It is the incentive for doctors to take patients

It is the main reason there is so many fraudulent claims by doctors and health care corporations

I throw a shitload of stuff at you and you cherry pick one item to argue about without citation??? LOL!!!

Yeah, you suck at this...

 

[Rob Roy]

Yes it's called
"History repeats itself"

BTW
The alternative plan the Republicans were pushing at the time is something we call "Obamacare"

Thank you for pointing out that no matter the color of the jacket, inside a Politician is a desire to fuck you over by issuing "mandatory" proclamations.

 

[Rob Roy]

[/B]
really? you think not?

Do you think people have a "right" to make others choices whether to participate in something or not and to make participation mandatory with threats of violence for noncompliance? Do you think people have a "right" to make others take part of the fruit of their labor and use it in ways they prefer not to? That seems to have a lot of similarity to how slavery operates.

Do you threaten people in your daily life or do you just want the "officials" to do it for you ?

 

[ChesusRice]

I throw a shitload of stuff at you and you cherry pick one item to argue about without citation??? LOL!!!

Yeah, you suck at this...

You thru a bunch of shit at me. I just picked the first thing you said.
here is a citation. Now you can accuse me of copy and paste

He told Kroft he didn't have any medical equipment or real clients - all of it was fake.

"And you would just fill out some invoices and some forms and send 'em to Medicare?" Kroft asked.

"That's it. In 15 to 30 days you'll have a direct deposit in your bank account. I mean it was ridiculous. It's more like taking candy from a baby," Tony said.

Once the crooked companies get hold of the patient lists, usually stolen from doctors' offices or hospitals, they begin running up all sorts of outlandish charges and submit them to Medicare for payment, knowing full well that the agency is required by law to pay the claims within 15 to 30 days, and that it has only enough auditors to check a tiny fraction of the charges to see if they are legitimate.


http://www.cbsnews.com/8301-18560_162-5414390.html?pageNum=2

 

[schuylaar]

To the uneducated it might seem that way.

Doctors have to file mountains of paperwork with Medicare/Medicaid and wait months to over a year for reimbursement. All the staff and processing costs add up. Throw in the completely illogical and inconsistent incredibly high billing for normal items such as bandaids that doctors could avoid and you would be looking at real cost savings.

Doctors have come out and said that they can offer in house treatment of normal issues with unlimited office visits for a fraction of what health care costs now. The problem is that the federal government will not let them operate this way. Throw in the fact that they dont have to cover emergency care and costs plummet even more.

How you think that multiple layers of burecratic fat, complexity and regulation somehow is making things cheaper is beyond me.

I've got this one Cheesus..acutually, physicians have recognized this little ditty long ago and now they've gone to inhouse..it's called.."surgical center" where many (doctors) owns "shares" of the surgical center in order to keep costs down..

 

[Rob Roy]

I've got this one Cheesus..acutually, physicians have recognized this little ditty long ago and now they've gone to inhouse..it's called.."surgical center" where many (doctors) owns "shares" of the surgical center in order to keep costs down..

So I have a question. Would you please address the questions I asked in post 383? If you don't mind please keep the red herrings out of it too. I really want to know what goes on in somebodies mind that thinks it is okay to try to do "good things" while threatening force. Thanks.

 

[schuylaar]

So I have a question. Would you please address the questions I asked in post 383? If you don't mind please keep the red herrings out of it too. I really want to know what goes on in somebodies mind that thinks it is okay to try to do "good things" while threatening force. Thanks.

I'll do you one better and end this now..DON'T PARTICIPATE..it's as simple as that..see how easy it was?..you have that option..

 

[Rob Roy]

I'll do you one better and end this now..DON'T PARTICIPATE..it's as simple as that..see how easy it was?..you have that option..

I have no intention of "participating" . You seem to have avoided the questions again though....is that because you CAN'T answer them?

 

[schuylaar]

I have no intention of "participating" . You seem to have avoided the questions again though....is that because you CAN'T answer them?

not at all..i'm just tired of repeating myself..sign says its red..i agree its red..you say its green..

 

[Rob Roy]

not at all..i'm just tired of repeating myself..sign says its red..i agree its red..you say its green..

That's not true. To my knowledge you've never addressed the questions I asked. NEVER. Now you're continuing to avoid them. Careful backpedaling the chain may fall off your bicycle.

I don't say it's "green". I say it's WRONG to force people under the threat of violence. You say it's okay to do these thing. Why is it okay?

 

[schuylaar]

That's not true. To my knowledge you've never addressed the questions I asked. NEVER. Now you're continuing to avoid them. Careful backpedaling the chain may fall off your bicycle.

I don't say it's "green". I say it's WRONG to force people under the threat of violence. You say it's okay to do these thing. Why is it okay?

define..............

 

[Rob Roy]

define..............

Do you think it is wrong to use threats of violence to make peaceful people comply with something they have no interest in participating in?

 

[schuylaar]

Do you think it is wrong to use threats of violence to make peaceful people comply with something they have no interest in participating in?

well, let me put it to you this way..WTF you talkin' 'bout Willis?

 

[Doer]

Do you think it is wrong to use threats of violence to make peaceful people comply with something they have no interest in participating in?

I think you hide the problem behind this absolute Wrong stuff. You say it is wrong. WE say it is not about right and wrong. That is just something we train kids with.

WE say you will comply will Federal Taxes and the Draft or whatever. WE say you will. It doesn't make it right. And because something is not right to you does not mean that it is wrong to US.

 

[Doer]

I have no intention of "participating" . You seem to have avoided the questions again though....is that because you CAN'T answer them?

You cannot answer.

You cannot answer why a minority gets to say I don't get it. And I have no intention of participating. Why do you not see that as warlord? Only Warlords may ignore the will of the majority by force.

ANSWER

 

[91GT347]

I think one big problem is doctors don't get full payment from Medicare/Medicaid. They get (Just an example) like 40 bucks reimbursement from Medicaid, on a visit that they normally get 100 bucks from Blue Cross Blue Shield. So more and more don't want to accept it.

 

[NLXSK1]

You thru a bunch of shit at me. I just picked the first thing you said.
here is a citation. Now you can accuse me of copy and paste

He told Kroft he didn't have any medical equipment or real clients - all of it was fake.

"And you would just fill out some invoices and some forms and send 'em to Medicare?" Kroft asked.

"That's it. In 15 to 30 days you'll have a direct deposit in your bank account. I mean it was ridiculous. It's more like taking candy from a baby," Tony said.

Once the crooked companies get hold of the patient lists, usually stolen from doctors' offices or hospitals, they begin running up all sorts of outlandish charges and submit them to Medicare for payment, knowing full well that the agency is required by law to pay the claims within 15 to 30 days, and that it has only enough auditors to check a tiny fraction of the charges to see if they are legitimate.


http://www.cbsnews.com/8301-18560_162-5414390.html?pageNum=2

I talk about having direct pay between patients and doctors and point out a ton of problems with medicare/medicaid and you want to say that they have to pay within 15 to 30 days.

If there was direct pay between patients and doctors the fraud would drop to almost ZERO overnight.

 

[schuylaar]

I talk about having direct pay between patients and doctors and point out a ton of problems with medicare/medicaid and you want to say that they have to pay within 15 to 30 days.

If there was direct pay between patients and doctors the fraud would drop to almost ZERO overnight.

direct payment? scenario:

you go to the doctor for your annual or maybe even something is bothering you, just a little..you are told "thank goodness you came in"..you need surgery IMMEDIATELY..you tell the doctor you have no health and try to negotiate pricing..they hand you an estimate 10k for initial phase of treatment..when they are done with all phases of treatment it will be well over 50k..we will "let you make payments"..um, well how about charging me "reasonable and customary" which, when a doctor submits to insurance carrier is paid only on "reasonable and customary" while you are only responsible for the remainder of the "reasonable and customary"..they want full boat..and in some instances charged double when reviewing line item quote..now you can't have health until 1/2014 and if you don't have the surgery NOW it's going to cause big problems and turn into pricier treatment down the road..

what would you do?

we do have a right to health insurance and not be financially devastated..the rules have changed and now insurance companies can't get away with reasons to not insure you..cherry pick the good and penalize those who don't fit in their little "insurable box"..no more!

 

[NLXSK1]

direct payment? scenario:

you go to the doctor for your annual or maybe even something is bothering you, just a little..you are told "thank goodness you came in"..you need surgery IMMEDIATELY..you tell the doctor you have no health and try to negotiate pricing..they hand you an estimate 10k for initial phase of treatment..when they are done with all phases of treatment it will be well over 50k..we will "let you make payments"..um, well how about charging me "reasonable and customary" which, when a doctor submits to insurance carrier is paid only on "reasonable and customary" while you are only responsible for the remainder of the "reasonable and customary"..they want full boat..and in some instances charged double when reviewing line item quote..now you can't have health until 1/2014 and if you don't have the surgery NOW it's going to cause big problems and turn into pricier treatment down the road..

what would you do?

we do have a right to health insurance and not be financially devastated..the rules have changed and now insurance companies can't get away with reasons to not insure you..cherry pick the good and penalize those who don't fit in their little "insurable box"..no more!

You are not listening...

You would still have catastrophic insurance like you do when you get in a car accident.

The problem is if our healthcare insurance was similar to car insurance it would pay for the gas, the tire rotations, the brake jobs, the tuneups, etc. If car insurance had all those addons it would be really fucking expensive as well.

You go to the doctor for routine care. If you need a procedure above 50K or so your insurance kicks in. That would cause medical insurance to be really cheap. The rest you pay for out of pocket. I am sure they would come up with financing programs like for cars for people who can afford it.

For people stupid enough or poor enough to not buy insurance we should have some sort of loan program similar to a student loan. You go to the emergency room, they fix you up but you are still going to have to pay for the care. In this scenario if you dont pay then the government comes in and garnishes 5% or so of your wages until it is paid off or until you die.

Doctors offices would have to compete for care. A heart bypass would drop from hundreds of thousands of dollars to thousands of dollars because all of the hidden charges would be removed. There would be innovation created by the need for less expensive procedures where there simply is no demand for it now.

The insurance game makes things crazy expensive. If the government only pays 33% for a medical device the company simply triples the cost of the medical device and still gets what they want right now. In direct pay where the customer is concerned with cost these kinds of things would not happen.

 

[nitro harley]

direct payment? scenario:

you go to the doctor for your annual or maybe even something is bothering you, just a little..you are told "thank goodness you came in"..you need surgery IMMEDIATELY..you tell the doctor you have no health and try to negotiate pricing..they hand you an estimate 10k for initial phase of treatment..when they are done with all phases of treatment it will be well over 50k..we will "let you make payments"..um, well how about charging me "reasonable and customary" which, when a doctor submits to insurance carrier is paid only on "reasonable and customary" while you are only responsible for the remainder of the "reasonable and customary"..they want full boat..and in some instances charged double when reviewing line item quote..now you can't have health until 1/2014 and if you don't have the surgery NOW it's going to cause big problems and turn into pricier treatment down the road..

what would you do?

we do have a right to health insurance and not be financially devastated..the rules have changed and now insurance companies can't get away with reasons to not insure you..cherry pick the good and penalize those who don't fit in their little "insurable box"..no more!

I understand what you are saying I have been that guy, and there was allready something in place for people that get turned down....I got turned down by three POS insurance companies then I qualified for the oregon health plan, which was for people that get turned down like me....I didn't need Obama care to get Ins, and it has been that way for a very long time...It cost money but if you didn't have money you can get on medicade....So I don't get why we needed Obama care, because in a way we all ready had it available it was called oregon health plan....