Question about Healthcare from the Idiot Class:

[MrsSmith]

hnmnf  (1000+ posts)        Sat Jan-03-09 09:55 AM
Original message

Question about Healthcare from the Idiot Class:
 Advertisements [?]What happens to insurance companies if this country goes to single-payer?

 

oktoberain  (1000+ posts)        Sat Jan-03-09 10:05 AM
Response to Original message
1. They downsize, with many of their employees moving over to work for the new
 government healthcare bureaucracy. The reduced-size companies continue to sell "premium" insurance to the uber-wealthy, who want something more than the government provides...because we all know that rich people will never be content having the same health insurance as poor people. There will be a market for insurance that makes the wealthy feel properly superior, and that's what they'll cater to.

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 hnmnf  (1000+ posts)        Sat Jan-03-09 10:08 AM
Response to Reply #1
2. But wont many have to lose their job?

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 Somawas (1000+ posts)      Sat Jan-03-09 10:10 AM
Response to Reply #2
4. I certainly hope so.
 Evil little minions of corpocracy.

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 Jake3463  (1000+ posts)        Sat Jan-03-09 10:21 AM
Response to Reply #4
8. As one of those minions
 who actually works for a medicaid managed care program that saves the state money.

F*** YOU.

Poor Jake...he is totally overwhelmed...

Jake3463  (1000+ posts)        Sat Jan-03-09 10:27 AM
Response to Reply #11
13. So much ignorance so little time

[Carl]

I wonder where they will put all the lib ambulance chasing lawyers as well when the insurance companies they hate are no more.

[Texacon]

Poor Jake...he is totally overwhelmed...
 

Poor, poor Jake.  It is getting its posts deleted as fast as it can put them up.  There shall be NO education from those in the know at the DUmp!!!

KC

[formerlurker]

They demand a platform for socialized medicine without having the slightest idea what it is they are advocating for. 

[MrsSmith]

Poor, poor Jake.  It is getting its posts deleted as fast as it can put them up.  There shall be NO education from those in the know at the DUmp!!!

KC

He tries again

Jake3463  (1000+ posts)        Sat Jan-03-09 10:43 AM
Original message
I'm going to get flamed for my opinion on Healthcare but here it goes
 Advertisements [?]Real quickly my background, I'm an accountant, well actually an auditor who spent a year auditing hospitals and the past 2 years auditing a medicaid HMO. I'm by no means an expert on the system but here is what I know


1) Claims are good. Claims capture data on cost and allow you to track cost of a person recieving healthcare and look for opportunities to treat the person in a more efficient manner. If the person is constantly going to the emergency room for treatment than it makes sense for a utilization management nurse to talk to that person about going to a Primary Care Physician once a year for a check-up and for their sore throat before it becomes something worse. If we managed utilization managment better the emergency room can go back to what it is meant to be a triage center and not a free health clinic. Utilization management is also good for drug treatment and serious illness treatment. You want the best care possible and you want it in the most efficient way possible.

2) You have to have a way to control cost. I believe Healthcare is a right but trust me you have to set up a system of checks and balances. I believe a system where the government takes on risk, outsources administration to a third private party licensed and audited by the state on an annual basis, and the third party pays the hospitals. The third party recieves credit for managing costs and utilization management. You set up 3 parties that can lobby and control each other and you create a system that is less prone to playing with the politians because you now have a business interest that has a reason to try to keep the republicans out of messing with their system.

Now flame away.
 

And he's getting hammered...

Jake3463  (1000+ posts)        Sat Jan-03-09 11:55 AM
Response to Reply #31
33. I WORK FOR A ****ING MEDICAID COMPANY
 Edited on Sat Jan-03-09 11:56 AM by Jake3463
Jesus Christ...if you want to get rid of Medicaid let me know. 
 

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 Donnachaidh  (1000+ posts)      Sat Jan-03-09 12:05 PM
Response to Reply #33
42. if getting universal healthcare for everyone in this country means getting rid of Medicaid
 Oh you betcha!

 
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 Jake3463  (1000+ posts)        Sat Jan-03-09 12:06 PM
Response to Reply #42
44. Fine by me
 but right now I'm doing the little I can for the people who are at the bottom end of the ladder.

Maybe you should talk to people instead of instantly reacting with words like rape and such.

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 Donnachaidh  (1000+ posts)      Sat Jan-03-09 12:16 PM
Response to Reply #44
51. truth hurts, doesn't it?
 RAPE is THE appropriate word for it.

When I see seniors struggle to get prescription coverage, but are given not only a ration of shit because they were unfortunate enough to be diabetic - but they also have to pay astounding high premiums because some bean counter in an office somewhere decided the extraneous costs like syringes or tubing is something they wouldn't cover? After all diabetics really don't NEED syringes, now do they?

Or the elder who needs oxygen, but has to pay out of pocket for the TUBING to use that oxygen -- this of course, after paying for BOTH his medicare part A and B, which is usually 10% or MORE of a VERY limited income in the first place?

You DARE to get *offended* by the use of a WORD?

Okay -- How about this? How MANY seniors, how many disabled people are MURDERED every year by insurances and agencies that drag their feet, diddling over terminology, diddling over how *much* of a service they will provide, or how much of a drug they will provide?

Got any STATS on THAT?

How many people DIED in emergency rooms while hospital office workers ran around trying to figure out which form to send, who had jurisdiction over the poor elderly sod who was brought in by ambulance?

Got any STATS on THAT?

It's funny, but I feel bad for the guy... 

[JohnnyReb]

There may be a medical problem in this country but the liberal medication of cancerous socialism is not the cure.

[Texacon]

He tries again


And he's getting hammered...

It's funny, but I feel bad for the guy... 

Jake should just give up.  There is no arguing with the DUmmies.  They know everything about everything.   

Even when you tell them you are an expert in some field they will tell you you don't know what you are talking about.  They are mostly idiots.

KC

[Carl]

Jake should just give up.  There is no arguing with the DUmmies.  They know everything about everything.   

Even when you tell them you are an expert in some field they will tell you you don't know what you are talking about.  They are mostly idiots.

KC

The world in which they dwell requires a suspension of the belief in reality to start with so it really is no surprise.

[BlueStateSaint]

Anybody gonna invite Jake over here?