Has ayone else noticed? (Page 2): Providers and Fraudsters. Medicare submissions normally go from Doctor and Hospital directly to Medicare. Not to any private insurer...

VladimirPee

Providers and Fraudsters. Medicare submissions normally go from Doctor and Hospital directly to Medicare. Not to any private insurer

Floyd Brown wrote:

Who sends in the bills & just who ends up with the wasted money.

DASHY

Dennis. Yipes!!! $500 billion is a big number for fraud and abuse. Please refer me to a reputable source for this claim.

You might be thinking about the often repeated statement that the ACA takes $500 billion from Medicare. If you factcheck that statement, you find that the $500 billion actually comes from savings from phasing out Medicare Advantage, a private insurance plan which covers Medicare enrollees.

Also, where can I find the profits of all insurance companies. Is this compilation available to the general public?

Thanks. Dashy

VladimirPee

That's a 10 year number which seems to be the preferred time line on estimates for this administration. Where did I get the number? From Obama

"In 2009, improper payments totaled $98 billion, with $54 billion stemming from Medicare and Medicaid. We cannot afford nor should we tolerate this waste of taxpayer dollars and in our health care system."

http://www.whitehouse.gov/the-press-office/president-obama-announces-new-effort-crack-down-waste-and-fraud

DASHY wrote:

Dennis. Yipes!!! $500 billion is a big number for... (show quote)

Ve'hoe

Cant disagree more,,,, Cost Rica by the way has social medicine by the way. But (One of the Problems) the problem is that this is a "Law" that was passed illegally and then the King decides which parts he will adhere to and which parts he wont. That is illegal in fact high crimes and misdemeanors. You cant just change a law,,, there is a process that includes congress whether the left lefties like it or not, and YOU have to adhere to it or you break the law. Our leaders HAVE to obey the law or they get more power than they can handle. And then they become dictators,,, like they are telling us we "HAVE" to buy a product from them. That is unconstitutional regardless of SCOTUS decisions,,, and the President has taken more powers than he has or is supposed to have, to say nothing of the individual mandate being left in.

Remember I am in medicine and the idea that the govt is going to protect "pre-existing conditions" isn't quite true,,, what the govt is doing is charging everyone for the insurance of the few,,, not only pre-existing conditions, but a******ns, birth control, maternity, and other conditions, so the govt is taking from one group to pay for another. And regardless of the left lefties slime job of Gov Palin, she was right, the govt will set up committees to deny care (death panels) and as with the IRS vs Teaparty, it will be political (or has the ability to be corrupted because that is more power than the constitution allowed the govt to have)

Medicare is failing, Medicaid is failing, VA has already failed,,, ACA will fail too except in one purpose, to give unlimited power and finances to the govt to enforce via medical care what we can do, what you can eat, how fat you are,,, and I cant wait until the fed takes on male homosexual behavior!! That should be a hoot!

This whole concept is wrong, it isn't capitalistic like we are supposed to be. I had great insurance before.... because I had a good job,,,, after the govt passed Nafta, and began to work on jobs, jobs went away, so will medical care. And like I keep telling people this is ONLY Insurance,,, you have to find someone who is gonna take it.... try finding Dr's who take medicare..... it isn't easy.

The problem is, that he govt has hung this carrot in front of you that you want,, medical care,,,so far everything they promised has failed or been an out and out lie,,, why do you believe that THIS time,,,, they are telling the t***h?

Hungry Freaks wrote:

exactly right, criticizing the roll out, but not the law. Any large program, governmental or otherwise, is going to have kinks in the roll out.

But the right Righties seem to think this proves the entire law is unworkable, refusing the look at those who have signed up via telephone or actual written applications.

The right Righties are terribly afraid the the American public will like the law that prevents the insurance companies from denying coverage for pre-existing conditions or protects "health care consumers" from arbitrary denial of coverage for wh**ever reason the insurance companies come up with.

Problem with the ACA is that it doesn't go far enough. It doesn't establish a pool made up of all citizens. It only perpetuates the current system where the government provides coverage for the old, the very poor and the very sick, leaving the relatively healthy for private insurers. Only way to cut health care costs is to expand the pool of insured to include the young, the employed and the relatively healthy along with the old, the very poor and very sick.

Every other developed nation on the face of the earth has some sort of universal health care. It hasn't broken their economies-in fact the US has tried to use Canada's universal system as an "unfair trade advantage" in the NAFTA debate. In what is the only truly bi-partisan efforts, both parties in Congress passed the agreement although Canada got their health care system removed as an "unfair trade advantage."

Wake up people. Its time to act in the self interest of those who pay taxes and get little in return except for a huge military and subsidies for the very rich and the very poor. (the former getting the lions share while the later get mere crumbs.) This system offers nothing to you except looming peonage and a health care system that is the most expensive in the world yet only offers Third World health care outcomes. (tied for 17th with Costa Rica.)

Is this what you want-the status quo> If so, support your local republicans, democrats and tea party types.

exactly right, criticizing the roll out, but not t... (show quote)

VladimirPee

Howard Dean. Former Dem Governor. Far Left and a Physician. Wall Street OP-ED

" One major problem is the so-called Independent Payment Advisory Board. The IPAB is essentially a health-care rationing body. By setting doctor reimbursement rates for Medicare and determining which procedures and drugs will be covered and at what price, the IPAB will be able to stop certain treatments its members do not favor by simply setting rates to levels where no doctor or hospital will perform them"

Looks like Sarah Palin was right.

http://online.wsj.com/news/articles/SB10001424127887324110404578628542498014414

Ve'hoe wrote:

Cant disagree more,,,, Cost Rica by the way has social medicine by the way. But (One of the Problems) the problem is that this is a "Law" that was passed illegally and then the King decides which parts he will adhere to and which parts he wont. That is illegal in fact high crimes and misdemeanors. You cant just change a law,,, there is a process that includes congress whether the left lefties like it or not, and YOU have to adhere to it or you break the law. Our leaders HAVE to obey the law or they get more power than they can handle. And then they become dictators,,, like they are telling us we "HAVE" to buy a product from them. That is unconstitutional regardless of SCOTUS decisions,,, and the President has taken more powers than he has or is supposed to have, to say nothing of the individual mandate being left in.

Remember I am in medicine and the idea that the govt is going to protect "pre-existing conditions" isn't quite true,,, what the govt is doing is charging everyone for the insurance of the few,,, not only pre-existing conditions, but a******ns, birth control, maternity, and other conditions, so the govt is taking from one group to pay for another. And regardless of the left lefties slime job of Gov Palin, she was right, the govt will set up committees to deny care (death panels) and as with the IRS vs Teaparty, it will be political (or has the ability to be corrupted because that is more power than the constitution allowed the govt to have)

Medicare is failing, Medicaid is failing, VA has already failed,,, ACA will fail too except in one purpose, to give unlimited power and finances to the govt to enforce via medical care what we can do, what you can eat, how fat you are,,, and I cant wait until the fed takes on male homosexual behavior!! That should be a hoot!

This whole concept is wrong, it isn't capitalistic like we are supposed to be. I had great insurance before.... because I had a good job,,,, after the govt passed Nafta, and began to work on jobs, jobs went away, so will medical care. And like I keep telling people this is ONLY Insurance,,, you have to find someone who is gonna take it.... try finding Dr's who take medicare..... it isn't easy.

The problem is, that he govt has hung this carrot in front of you that you want,, medical care,,,so far everything they promised has failed or been an out and out lie,,, why do you believe that THIS time,,,, they are telling the t***h?

Cant disagree more,,,, Cost Rica by the way has so... (show quote)

Ve'hoe

You only have to "deal with insurance companies" because of the same govt poking its nose into commerce and forcing it that way,,, due to insurance companies and lobbyists,,, it is a govt circle jerk,,, with you as the victim, that is if you are middle class that is why the individual mandate was left in place, so the dems get business support for 2014,,,, and get the money from individuals into their pockets,,, that is all

Hungry Freaks wrote:

I haven't been quiet at all-I've said we need univ... (show quote)

VladimirPee

Very Old are covered by Medicare. Very Poor by Medicaid.

Ve'hoe wrote:

You only have to "deal with insurance companies" because of the same govt poking its nose into commerce and forcing it that way,,, due to insurance companies and lobbyists,,, it is a govt circle jerk,,, with you as the victim, that is if you are middle class that is why the individual mandate was left in place, so the dems get business support for 2014,,,, and get the money from individuals into their pockets,,, that is all

Dave Loc: Upstate New York

Hungry Freaks wrote:

exactly right, criticizing the roll out, but not the law. Any large program, governmental or otherwise, is going to have kinks in the roll out.

But the right Righties seem to think this proves the entire law is unworkable, refusing the look at those who have signed up via telephone or actual written applications.

The right Righties are terribly afraid the the American public will like the law that prevents the insurance companies from denying coverage for pre-existing conditions or protects "health care consumers" from arbitrary denial of coverage for wh**ever reason the insurance companies come up with.

Problem with the ACA is that it doesn't go far enough. It doesn't establish a pool made up of all citizens. It only perpetuates the current system where the government provides coverage for the old, the very poor and the very sick, leaving the relatively healthy for private insurers. Only way to cut health care costs is to expand the pool of insured to include the young, the employed and the relatively healthy along with the old, the very poor and very sick.

Every other developed nation on the face of the earth has some sort of universal health care. It hasn't broken their economies-in fact the US has tried to use Canada's universal system as an "unfair trade advantage" in the NAFTA debate. In what is the only truly bi-partisan efforts, both parties in Congress passed the agreement although Canada got their health care system removed as an "unfair trade advantage."

Wake up people. Its time to act in the self interest of those who pay taxes and get little in return except for a huge military and subsidies for the very rich and the very poor. (the former getting the lions share while the later get mere crumbs.) This system offers nothing to you except looming peonage and a health care system that is the most expensive in the world yet only offers Third World health care outcomes. (tied for 17th with Costa Rica.)

Is this what you want-the status quo> If so, support your local republicans, democrats and tea party types.

exactly right, criticizing the roll out, but not t... (show quote)

So, you think the only criticizism is the roll out - completely unaware that millions are finding out they can't keep the policy they had even if they liked it - guess those folks are all just righties.

Dave Loc: Upstate New York

Hungry Freaks wrote:

I haven't been quiet at all-I've said we need univ... (show quote)

Sure - let's get the insurance companies out of it and replace them with the government - and let's have a single payer system for all things necessary to sustain life - food, shelter, clothing - might as well include entertainment - but this isn't socialism, this is simply governmental paternalism sometimes called totalitarianism.

Ve'hoe

And they rob dr's they just don't pay

DennisDee wrote:

Very Old are covered by Medicare. Very Poor by Medicaid.

DASHY

Dennis. In 2009 when the improper payments for Medicare was $54 billion, the Obama Administration moved aggressively to crack down on waste and fraud. The Medicare Fee-For-Service 2011 Improper Payments Report shows improper payments totaled $28.8 or 8.6% of total paid claims. While total payments have risen, improper payments have dropped dramatically.

Thank you Obama for looking out for us.

Where do I find total profits for all insurance companies for ten years?

Thanks. Dashy

VladimirPee

Dashy

#1 you only included Medicare not Medicaid.
#2 You only included improper payment which does not include outright fraud.

Program 2012 Improper Payment Rate 2012 Improper Payment Amount Medicare Parts A and B 8.5% $29.6B Medicaid 7.1% $19.2B CHIP 8.2% $0.7B - See more at: http://www.hms.com/cms-releases-fy2012-medicaid-and-medicare-error-rates/#sthash.WdQEZhQ5.dpuf

DASHY wrote:

Dennis. In 2009 when the improper payments for Med... (show quote)

VladimirPee

From Left leaning Cato Institute

the five largest insurers made record profits of over $12 billion. But that puny sum includes WellPoints sale of its pharmacy benefits management company NextRX to Express Scripts for $4.7 billion last April. Adding that $4.7 billion to WellPoint profits is like saying a familys income rose by $1 million because they sold a million-dollar home.

DASHY wrote:

Dennis. In 2009 when the improper payments for Med... (show quote)

Ve'hoe

Hmm,,, I really cant understand how intelligent people can look at this sort of propaganda and applaud it!?! Like the lower deficit lies, like the 7 million jobs created lies,, etc etc etc,,, I really don't get it,,,,could you explain to me, how you can look at the economy, the shape it is in now, and truly believe that deficits are lower, and 7 million jobs have been created???

DASHY wrote:

Dennis. In 2009 when the improper payments for Med... (show quote)

Floyd Brown Loc: Milwaukee WI

DennisDee wrote:

Very Old are covered by Medicare. Very Poor by Medicaid.

Do the people you work for pay for you health insurance?
If they do will they keep paying?
Is the cost of that insurance going to be more? Why?

Do you pay for it your self?
Is the cost to you for that insurance going to cost you more or are they going to drop you & if so why?

These are actions that have no direct bearing on the ACA.

One must under stand the real reasons behind such moves.
Not what is said off the top.

Perhaps it is a ploy to strike fear in to the public.

Fear that starts with in the insurance companies about their future & to be spread to the general public.

The basic issue is that we need to have better health care for the money being spent.

At one time hospitals were nonprofit. At that time health care for that time was good. Now health care maybe better for some but can you truly say that the system of health care is better for most?

I am on Medicare & pay for additional coverage.
I have yet to use Medicare. for my self at 76.