How to cover the 10 million truly uninsured!

Discussion in 'Healthcare/Insurance/Govt Healthcare' started by healthmyths, Sep 19, 2011.

  1. healthmyths
    Offline

    healthmyths Gold Member Supporting Member

    Joined:
    Sep 19, 2011
    Messages:
    15,230
    Thanks Received:
    2,044
    Trophy Points:
    245
    Ratings:
    +3,850
    90% of physicians say they KNOW $1 of every $4 is spent by them on defensive medicine, i.e. ordering duplicate tests, MRI, referring to specialists,etc. over $600 billion a year!
    Why? Fear of being sued! Fear of having to take time to testify. Time to meet with lawyers.. all of which add up to FEAR of lawsuits!
    Solution is a model from Obamacare that taxed tanning salons! Obamacare rationale was tanning caused cancer hence higher costs, therefore tanning salons pay a 10% tax!
    True.. it's in PPACA the 2,904 page Patient Protection Affordable Care Act monstrosity!

    That and when hospitals have to under EMTALA see uninsured patients, pad and pass the unreimbursed expenses to the insurance companies and Medicare!
    $50 billion a year which could be recovered by requiring all uninsured to register at the hospital when claiming "uninsured" and hospital sends claims to the yet to be created federally funded by taxing the $100 billion lawyers get!
    The Uninsured Health Insurance Company © would manage and as a result the 10 million truly uninsured would have coverage!
    Problem solved and the $600 billion in defensive medicine will reduce easily by $100 billion! And "padding and passing" on by hospitals would decrease in fact they'd be audited to make sure they are complying!
     
  2. editec
    Offline

    editec Mr. Forgot-it-All

    Joined:
    Jun 5, 2008
    Messages:
    41,427
    Thanks Received:
    5,598
    Trophy Points:
    48
    Location:
    Maine
    Ratings:
    +5,617
    I don't know about this theory.

    I don't believe I can sue the VA for iatrogenesis, but their medical approach seems highly defensive to me.
     
  3. Warrior102
    Offline

    Warrior102 Gold Member

    Joined:
    May 22, 2011
    Messages:
    16,554
    Thanks Received:
    4,019
    Trophy Points:
    183
    Ratings:
    +4,029
    Healthmyths - Go out any buy your own insurance, you miserable fucking failure.
     
  4. healthmyths
    Offline

    healthmyths Gold Member Supporting Member

    Joined:
    Sep 19, 2011
    Messages:
    15,230
    Thanks Received:
    2,044
    Trophy Points:
    245
    Ratings:
    +3,850
    "Go out any buy your own insurance, you miserable fucking failure"
    So I take it you believe there are 50 million uninsured?
    You believe the lawyers should be tort free?
    You believe that the government should cover everyone?

    See I don't! I do KNOW more about Medicare/and health insurance then you evidently!
    I know lawyers are the # 1 cause of the $600 billion in wasteful defensive costs!
    I KNOW from my work experience also that Medicare is overcharged (knowingly by the way.. well here.. for example:
    This hospital Univ. Community Hospital
    ordered 2,110 CAT scan no contrast.
    They billed medicare $2,635 for each scan.
    Their costs: $43
    Their markup: 6,127.91%

    And you think that's OK???
     
  5. Greenbeard
    Offline

    Greenbeard Gold Member

    Joined:
    Jun 20, 2010
    Messages:
    6,809
    Thanks Received:
    1,200
    Trophy Points:
    200
    Location:
    New England
    Ratings:
    +1,323
    Unless we've traveled back in time forty years, you don't just bill Medicare whatever amount you please. Medicare reimburses according to a fee schedule. And according to this table of 2006 numbers (unadjusted for geographical variation), a hospital outpatient department would've been reimbursed $47.51 for a basic CT scan.
     
  6. Warrior102
    Offline

    Warrior102 Gold Member

    Joined:
    May 22, 2011
    Messages:
    16,554
    Thanks Received:
    4,019
    Trophy Points:
    183
    Ratings:
    +4,029
    Yes.
     
  7. Bfgrn
    Offline

    Bfgrn Gold Member

    Joined:
    Apr 4, 2009
    Messages:
    16,829
    Thanks Received:
    2,480
    Trophy Points:
    245
    Ratings:
    +3,060
    You can run, but you can't hide...

    Thread started by healthmyths

    Myth: 46 to 50 million uninsured

    The Census Bureau's own numbers show 15.5 million are uninsured.

    -------------------------------------------------------------------------------------------------------

    [​IMG]

    Table C. People Without Health Insurance Coverage

    (Numbers in thousands)

    2008
    Region Number Percent
    U.S. 46,340 15.4

    2009
    Region Number Percent
    U.S. 50,674 16.7

    NEXT...!
     
  8. healthmyths
    Offline

    healthmyths Gold Member Supporting Member

    Joined:
    Sep 19, 2011
    Messages:
    15,230
    Thanks Received:
    2,044
    Trophy Points:
    245
    Ratings:
    +3,850
    Here is the source for that figure and if you want more:

    All information in this report is taken from the Medicare Hospital OPPS Identifiable Data Set which is updated annually by CMS based on the service year (i.e. calendar year).
    The file includes hospital outpatient billing data for 100% of all Medicare fee-for-service claims for outpatient services provided during the twelve months ending December 31.
    The report is consistent with CMS Data Release policies.

    Information is reported for the twenty Ambulatory Payment Classifications (APCs) representing the highest Medicare payment to the hospital.
    APCs are defined by the procedures performed according to definitions published by CMS for the corresponding service year. A list of APCs is provided for reference.

    * Note that the Number of Patient Claims may be less than the Units of Service provided (i.e. one claim may include multiple units of service for a procedure).
    * Average Charges are based on both covered and non-covered charges for all accommodations and services (related to the revenue code) for a billing period before reduction for the deductible and coinsurance amounts and before an adjustment for the cost of services provided.
    * Average Costs are based on charges adjusted to cost using the hospital's specific cost center cost-to-charge ratio.
     

Share This Page