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Hoyt

(54,770 posts)
22. Today, most insurers pay a percentage of Medicare's Fee Schedule. Providers don't set the payments
Fri Sep 15, 2017, 01:06 PM
Sep 2017

anymore.

Providers charge what they want, but because most have signed a contract with an insurer or Medicare, they get paid what the plan's fee schedule allows and it's not a lot different from what Medicare pays. In fact, one reason so many providers don't accept ACA patients is because the exchange plans' fee schedules are often less than Medicare.

The savings everyone thinks is there, really isn't unless we slash Medicare's rates. That is going to affect nurses, physical therapists, house keeping, and everyone else in the chain. That might be good, but it ain't gonna be seamless. I think we need to shoot for it, but anyone who thinks costs will be a lot less, is going to be disappointed.


I'd also suggest looking at the Urban Institute's analysis last year of Sanders original plan.

https://www.democraticunderground.com/10029596950

Not a bad approach. It is significantly different from Sanders' plan which has no coinsurance Hoyt Sep 2017 #1
My real point is that, no matter how the system is configured, MineralMan Sep 2017 #2
I agree. It's got to be simple, show real savings, and make the change palatable/unconcerning. Hoyt Sep 2017 #5
Whatever system is proposed and whenever there is a realistic MineralMan Sep 2017 #7
To move it forward, I think you need to be able to tell the Average Jane about what it Hoyt Sep 2017 #9
Well, if a single-payer concept is what it's supposed to be, MineralMan Sep 2017 #13
I don't buy that reduction in admin cost. Fact is, docs submit the same claim to any payer and Hoyt Sep 2017 #15
Medicare sets the amount they will pay for procedures, etc. MineralMan Sep 2017 #20
Today, most insurers pay a percentage of Medicare's Fee Schedule. Providers don't set the payments Hoyt Sep 2017 #22
Your points are well taken. If only we all will have the patience to work through the political haveahart Sep 2017 #6
Not quite that simple-- who actually analyzes costs/benefits when making decisions? TreasonousBastard Sep 2017 #3
What I wrote has no details at all in it. MineralMan Sep 2017 #4
But it isn't quite that simple Mineral Man leftofcool Sep 2017 #8
Here's the thing. No. MineralMan Sep 2017 #10
No, I am not confused at all leftofcool Sep 2017 #11
If everyone is covered by Medicare or any universal system, MineralMan Sep 2017 #14
I hear you. I do think that if everyone, but a few, had the standard plan -- Doctors Hoyt Sep 2017 #12
Mineral Man, my husband and I have been on Medicare for several years. Grammy23 Sep 2017 #16
Thank you for this post. SharonClark Sep 2017 #17
Yes, I failed to mention that the Part A Medicare is already paid for. Grammy23 Sep 2017 #18
Yes, thanks. That's how most people on Medicare see it. MineralMan Sep 2017 #19
Yes, yes, yes to everything you said. Grammy23 Sep 2017 #30
Ask People on Medicare What They Think of Medicare! MineralMan Sep 2017 #32
Sorry but that IS NOT AT ALL what the proposed plan does. berni_mccoy Sep 2017 #21
I'm not talking about any specific plan. MineralMan Sep 2017 #23
You are talking about selling Medicare for All in the context of Bernie's plan being released berni_mccoy Sep 2017 #24
Thanks for your advice. I choose to ignore it. MineralMan Sep 2017 #26
Again, I am not talking about "Bernie's Plan" at all. MineralMan Sep 2017 #34
The REAL Key to Selling Medicare for All berni_mccoy Sep 2017 #25
One GREAT way to sell this to those who cant be sold, is to relieve employers entirely Eliot Rosewater Sep 2017 #27
Yes, a simple payroll tax, and an end to paying an insurance company MineralMan Sep 2017 #28
This whole thing can work, I am not a fan of doing it without full party support but that aside Eliot Rosewater Sep 2017 #29
Something certainly can work, whatever it is called. MineralMan Sep 2017 #31
We are our own worst enemies; same reason trump has the ability to cause Eliot Rosewater Sep 2017 #33
That's a different issue, but it's the issue we should all be MineralMan Sep 2017 #35
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