Reforming Medicare

Discussion in 'Healthcare/Insurance/Govt Healthcare' started by Greenbeard, Jun 15, 2011.

  1. Greenbeard
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    Greenbeard Gold Member

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    In considering ways to improve Medicare, I'm going to return to a theme I've touched on before: promoting value at all levels of the health system. Recent reforms to Medicare (and Medicaid) have made some progress in this direction, primarily on the payer side, in part by beginning to reward modes of delivery that have already shown themselves to improve quality and cut costs.

    But there are other ways to pursue value, for instance by putting the impetus on the consumer. Take value-based insurance design (V-BID):

    Today, MedPAC, the independent group of experts who advise Congress on Medicare, released their June report (they release reports in March and June every year). In the third chapter, they walk through some of the shortcomings of Medicare's current payment structure and raise a topic they've broached before:

    They don't develop explicit recommendations but rather they walk through some of the implications that will have to be considered and questions that will have to be answered if Medicare does eventually move to incorporate more V-BID (and they rightly point out that several variables will come into play).
     
  2. Gadawg73
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    Gadawg73 Gold Member

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    Reform A: Inform citizens of the facts. The $$ everyone pays into Medicare, Social Security or ANY government program is A TAX. NO ONE is entitled to receive anything if the country CAN NOT PAY THEIR BILLS. The government has made promises THEY CAN NOT KEEP ANYMORE. Accordingly, new rules will be implemented immediately.
    Reform B: Means test for all seniors for Medicare. ALL seniors with income over $70,000.00 a year ($85,000 for married) receive 50% ONLY. Insurance companies will not be allowed to DENY claims from seniors claiming Medicare as primary in this situation. Forcing our grandchildren to pay the medical bills of today's wealthy seniors is a crime.
    Reform C: End all "therapy" at assisted living facilities and out patient facilities. I have seen this for years and this is the biggest rip off ever. Occupational therapy and other therapy for 88 year old seniors is a waste. Billions of dollars saved.
    Reform D: End all mood stabilizer and anxiety, etc. medications for seniors immediately. Billions more saved. We have become a doped up society. End it.
    Reform E: If families do not want DNR orders on their loved ones then they can pay to keep 88 year old Gramps alive in ICU at 10K a day but we are broke and can not afford it. We are now spending as a nation 60% of ALL health care dollars on 4% of the population and end of life care to keep seniors alive is the fastest growing segment of those expenditures. At this rate in 25 years 85% of all health care dollars will go to those 4%.
    Reform F: Health clinics for basic doctor practictioner care. Tens of billions saved here.
     

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