The Conservative Cave
Current Events => The DUmpster => Topic started by: SSG Snuggle Bunny on September 30, 2014, 06:32:22 PM
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The OP, for background purposes only:
eridani (42,417 posts)
Underinsured ACA Enrollees Strain Community Health Centers
http://www.kaiserhealthnews.org/daily-report.aspx
Obamacare enrollees are straining the finances of community health centers around the country, some health center leaders say. The issue is that many lower-income patients with insurance coverage through the federal and state exchanges bought bronze-tier plans with lower premiums but high deductibles, coinsurance and copayments and no federal cost-sharing subsidies. When these patients face high out-of-pocket costs for care that falls below the deductible, they can't afford it. So the centers are subsidizing that care by offering them means-tested sliding-scale fees. When the centers, which are not allowed to turn away patients for inability to pay, try to get the insurers to pay, the claims are usually denied, and the centers have to write it off as uncompensated care (Modern Healthcare, Dickson, 9/25).
blah-blah-blah
daredtowork (549 posts)
1. And there is always deprivation of mandated insurance by omission
Been without Medi-Cal since Sept. 2 simply because my Social Services case worker wouldn't put me back in the Medi-Cal database after I tried to earn some money for necessities and this cause everything at Social Services to auto-default to "shut off". The Social Services case worker has no incentive to fix my Medi-Cal situation, and there are no consequences if he doesn't fix it. Appealing is supposed to create some indirect ding on his record, but it doesn't address the situation any faster.
I have been going without medications, appointments, etc. since Sept. 2. In an emergency, I would be effectively "uninsured" wherever I went to get my problem addressed. My understanding is once I get Medi-Cal re-established, whoever treated me within 3-months can get back-billed, but still this hassle.
The ACA was a great first step, but there are far too many layers of complications and misdirects to allow stuff like this to happen. We need to just cut to the chase and do what we've been trying to "approach" - implement some sort of universal health care. Don't leave any "cracks" for people to fall through.
jwirr (24,749 posts)
16. As someone who has used many of our social programs for many years I can warn anyone that once
on the one thing we try never to do is - get off.
I worked with developmentally disabled clients in a workshop. They did not get paid enough to pay for their own medical needs so one of the things we did is monitor their hours so they did not make too much and get kicked off.
Welfare users once did that with AFDC so that they did not lose Medicaid for their families. One of the worst parts of being poor is that they limited what you can do to get ahead. I realize that the congress does not want someone who is rich to be on assistance but there is a long way between poor and rich.
http://www.democraticunderground.com/10025601123
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jwirr (24,749 posts)
16. As someone who has used many of our social programs for many years I can warn anyone that once
on the one thing we try never to do is - get off.
I worked with developmentally disabled clients in a workshop. They did not get paid enough to pay for their own medical needs so one of the things we did is monitor their hours so they did not make too much and get kicked off.
Welfare users once did that with AFDC so that they did not lose Medicaid for their families. One of the worst parts of being poor is that they limited what you can do to get ahead. I realize that the Democrats in congress does not want someone who is rich to be on assistance but there is a long way between poor and rich.
I half way agree with this DUmmie. However, it was the original intent of the Democrats to develop welfare in such a way as to break up families and perpetually keep the slaves on the ghetto plantations.
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"The Man" gets you down and tries to keep you down....and it seems that "The Man" is government.
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eridani (42,417 posts)
Underinsured ACA Enrollees Strain Community Health Centers
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Duh....anyone with half a brain could see this coming.
Gee...a bronze plan that costs $20 a month but only covers 60% after a high deductible is paid first........whatever could go wrong with that?
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Gee...a bronze plan that costs $20 a month but only covers 60% after a high deductible is paid first........whatever could go wrong with that?
They are like those "insurance" plans that used to be advertised on TV all the time.
Every day you were hospitalized, they would pay $100 a day - direct to you!!
No worries when you have coverage like that!
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Every day you were hospitalized, they would pay $100 a day - direct to you!!
No worries when you have coverage like that!
Yeah...no worries if you could time travel to 1958 or so when it was time for the billing, anyway...
:lmao:
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jwirr (24,749 posts)
16. As someone who has used many of our social programs for many years I can warn anyone that once
on the one thing we try never to do is - get off.
I worked with developmentally disabled clients in a workshop. They did not get paid enough to pay for their own medical needs so one of the things we did is monitor their hours so they did not make too much and get kicked off.
Welfare users once did that with AFDC so that they did not lose Medicaid for their families. One of the worst parts of being poor is that they limited what you can do to get ahead. I realize that the Democrats in congress does not want someone who is rich to be on assistance but there is a long way between poor and rich.
I half way agree with this DUmmie. However, it was the original intent of the Democrats to develop welfare in such a way as to break up families and perpetually keep the slaves on the ghetto plantations.
:cheersmate:
Admitted by the (D)Ummie, whether it knew it, or not.
I vote not.
Endeavor to stay on government cheese! Then, blame Republicans....
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They are like those "insurance" plans that used to be advertised on TV all the time.
Every day you were hospitalized, they would pay $100 a day - direct to you!!
No worries when you have coverage like that!
Coverage so great, it pays for three Tylenol.
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daredtowork (549 posts)
1. And there is always deprivation of mandated insurance by omission
Been without Medi-Cal since Sept. 2 simply because my Social Services case worker wouldn't put me back in the Medi-Cal database after I tried to earn some money for necessities and this cause everything at Social Services to auto-default to "shut off". The Social Services case worker has no incentive to fix my Medi-Cal situation, and there are no consequences if he doesn't fix it. Appealing is supposed to create some indirect ding on his record, but it doesn't address the situation any faster.
I have been going without medications, appointments, etc. since Sept. 2. In an emergency, I would be effectively "uninsured" wherever I went to get my problem addressed. My understanding is once I get Medi-Cal re-established, whoever treated me within 3-months can get back-billed, but still this hassle.
The ACA was a great first step, but there are far too many layers of complications and misdirects to allow stuff like this to happen. We need to just cut to the chase and do what we've been trying to "approach" - implement some sort of universal health care. Don't leave any "cracks" for people to fall through.
Therein lies the problem, DUmmie! First you tried to scam the system by working for $$$ under the table THEN you have a government employee who has NO INCENTIVE to help you.
You think you would be treated like that in the free market? Hell no! Well, you might be once but that person would be fired and you would move on to someone who has an INCENTIVE to help you ... like not getting fired and getting a paycheck.
KC
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Hitler finds out that because of Obamacare he can't keep his doctor.
https://www.youtube.com/watch?v=Hxwot4sGTrM
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Well, lots of buyers remorse on the thread over there. They willingly lapped up a bill of goods that the rest of us were screaming about. All because Nazi Pelosi wanted to polevault it through, or something.
Response to BrotherIvan (Reply #8)
Tue Sep 30, 2014, 04:28 PM
leftstreet (26,969 posts)
15. How shitty is the ACA if people need deductible insurance?
How many times did some lib gush "look how affordable!!!" and our reply has been "what about that deductible?"
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Well, lots of buyers remorse on the thread over there. They willingly lapped up a bill of goods that the rest of us were screaming about. All because Nazi Pelosi wanted to polevault it through, or something.
How many times did some lib gush "look how affordable!!!" and our reply has been "what about that deductible?"
They heard us but not one of the "smarterest people on the planet" understood what a deductible was and none of them were bold enough to ask because ... well, they are the smarterest people on the planet! It wouldn't have looked good.
KC