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Impact of Healthcare Reform is starting

Discussion in 'Political Discussion' started by khayos, Apr 9, 2010.

  1. khayos

    khayos Rookie

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    I missed you all after spending Easter at Disney.

    Anyway, I was at a healthcare strategy session today and wanted to share some thoughts on the concerns I heard around the table:

    1 - Hospitals who can keep a healthy bottom line (e.g. urban or well-to-do areas) will likely end up adding employed physicians to their roles as physicians will not want to have to keep up with the new paperwork. Employed physicians are actually a detriment to healthcare organizations.

    2 - The new regulations, combined with the penalties from the ARRA (stimulus bill) for non-compliance to high standards ("meaningful use" that hasn't been fully defined), seem aimed at closing the number of hospitals and, in general, lowering compensation for healthcare workers. This appears to be the savings in cost that the bill's proponents were going for.

    3 - The thoughts were that the forced imperilment of healthcare workers would ultimately result in government taking a larger role; perhaps even "bailing out" hospitals. Rural area hospitals with little funding would likely close in favor of independent practices which would offer a smaller selection of services.

    Anyway, I don't have links or anything to substantiate this right now. If any of you work in healthcare and have been hearing about the impacts, I'm curious if what you've heard is along the same lines as I did or if it is different.
  2. khayos

    khayos Rookie

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    And I'm going to bump my own post by adding something else that I forgot to put in... also heard that several organizations like the MHA (Massachusetts Hospital Association) feel like they were backstabbed by supporting the healthcare reform then seeing the final bill with provisions that hurt the health of hospitals.
  3. wistahpatsfan

    wistahpatsfan Rookie

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    It's interesting conjecture on the part of the people at the session, and I see that you have done the obligatory disclaimers, but what am I or anyone else supposed to give as a reaction to your meeting?

    The healcare bill sucks. It was a total sellout to corporate insurance special interests. Health insurers are an unnecessary middle man in the delivery of healthcare. Even if the government didn't get involved, insurance companies would not be missed if they all suddenly disappeared tomorrow, except for the hospital workers who process the paperwork. It's like requiring an intermediary specialist to do your food shopping....I digress...

    I have seen no changes. I know plenty of people deeply involved in various medical situations, and the entity involved that is creating the most obstacles, disruptions and delays is and always their insurance company. The doctors are great. The hospitals are tops in the world. The nurses are the best. The parking valet has never lost their car. Everything would be fine if there was no insurance company in their way f@#king things up. This has been going on way before Obama.

    I eagerly await more responses from the medical community about how the perfectly operating medical system and hospitals have been getting worse. I'd even like to hear from someone whose health insurance premiums have been going down since 2000 and are suddenly skyrocketing since the so-called healthcare bill was enacted.
  4. Mrs.PatsFanInVa

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    #12 Jersey

    I'm sorry, I totally don't understand what you mean by this. Whose "high standards?" What kind of high standards are you talking about? Shouldn't hospitals and healthcare workers be held to high standards?

    I can't even begin to answer this unless I know what your talking about. Special paperwork? Patient safety issues? Type of care offered? Infection rates? Mistake rate? Standards for what?
  5. khayos

    khayos Rookie

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    Sorry, that was vague. There are specific provisions in the ARRA that allow for hospitals and physician practices to be "awarded" dollars for meeting criteria on improving their health information systems. On its face, this seems like a great idea. Unfortunately, the goals are either undefined or difficult to implement by the goal year of 2015. Penalties begin to be implemented with non-compliance to these undefined rules -- lowered reimbursement rates -- which would put fragile organizations out of business.
  6. khayos

    khayos Rookie

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    That's why I posted... there were some interesting perspectives from a healthcare system about a reform bill that was supposedly geared towards expanding coverage and augmenting care at the expense of the insurance companies, but that, at least as interpreted now, is actually doing the opposite. Again, this is just my hearsay and I don't feel comfortable giving more details that could provide a link to my personal situation. If corroborated, it could begin to hint towards a bad outcome for this bill.

    Check out these comments about the ARRA items (stimulus bill, not the latest HCR bill)

    MHA, our member hospitals and health systems, and the allied hospital associations and health information technology professional organizations with whom we consult and collaborate have carefully studied and discussed the NPRM since it was issued earlier this year. While there is some diversity of opinion about the NPRM overall and in its particulars, the overwhelming consensus is that the NPRM defines "meaningful use" along several critical dimensions that will lead to disappointment in achieving the expectations of the legislation for vastly expanding EHR adoption, improving health care delivery, and stimulating the economy.

    http://www.mhalink.org/AM/Template....mplate=/CM/ContentDisplay.cfm&ContentID=10405
  7. patsfan13

    patsfan13 Hall of Fame Poster PatsFans.com Supporter

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    I talked to an HR person at out company, the company has a great HC plan currently (employees making <40K salary nothing for their ins, rates for the rest of the family are quite low).


    She said that looking at the requirements the plan will be phased out in a few years the company will not be able to afford it. This was off the record.
  8. Harry Boy

    Harry Boy Look Up, It's Amazing PatsFans.com Supporter

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    There has to be a reason for them to meet behind closed doors, rush it through, refuse to let it be fully read by the public, America has been a victim of a gigantic "snow job" but they will pay with their jobs and President Jug Ears will be a one term President.

    America will bounce back from the damage these grinning rat bastards have done and shoved upon us, they will pay dearly, watch the Tea Party's grow, holy jumping Jesus H Christ Lord.

    Bart (rat) Stupak was the first to fall many more will follow.
    Last edited: Apr 10, 2010
  9. FreeTedWilliams

    FreeTedWilliams pfadmins PatsFans.com Supporter

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    #75 Jersey

    Wait until everyone premiums go up 20-30% next year. What do you honestly think that you can mandate that insurance companies extend coverge so that 26 year olds still living in their mother's basements can still be carried by thier parents, and that was not gong to raise your rates?

    Could you imagine how much cheaper health insurance would have been if instead innodating the current system with so much pork that is bound to topple (and thus open it up for what they soicialist REALLY want, a single payer, goverment run healthcare syste (were I'm sure, that you will no be waiting behind Nancy Pelosi's kin, for some medical proceedure), they open it up to competition and allowed pwople to buy helath insurance based on their needs, and allowed the insurance companies to charge "high risk" people more (and helathy people less).

    Let's face it, if you have twenty speeding tickets, you car insurance is through the roof, if you don't have any, your insurance is much more affordable. If you own a '92 Honda, you pay alot less than if you own a Ferrari, it is all simple capitalism. Something could have been done by taking all the money we currently waste on fraud and move that to a "catatrophc illness plan" which is something that I think all Americans would have supported. You buy your custimized health insurance, pay YOUR OWN BILLS, and if God forbid, something horrible happens to you, the government steps in and either sends you to a VA hospital or covers the costs of your catstropich care. The insurance companes would love it, and the public would embrace it.
  10. DarrylS

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    If you pay attention most insurance companies try to raise their rates anyways..


    If you do a quick glance of the news premiums rose in '09 anywhere from 6 to 17%...

    You may wish to review the following document published in '08, so this has to be truer than true..

    http://www.whitehouse.gov/assets/documents/Health_Insurance_Premium_Report.pdf

  11. shmessy

    shmessy Maude Staff Member PatsFans.com Supporter

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    #75 Jersey


    Nice try, Ted.

    My health insurance went up 21% in 2008, 32% in 2009 and this year, starting May 1st 35% (before implementation of the health care bill)
    Last edited: Apr 10, 2010
  12. Mrs.PatsFanInVa

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    #12 Jersey

  13. khayos

    khayos Rookie

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  14. FreeTedWilliams

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    #75 Jersey

    Do you honestly expect me to accept anything from the WhiteHouse.gov as the truth (or anything even close to it)? Wasn't it posted on this site that if they passed the stim(pork)ulous the unemployment rate would not go above 8%! How's that prediction going for you?

    What if they passed tort reform, then i bet it woudl have gone down.
  15. Mrs.PatsFanInVa

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    #12 Jersey

    How about from Kaiser Medical Foundation? Would you accept information from them as truth??

    Since 1999, family premiums for employer-sponsored health coverage have increased by 131 percent, placing increasing cost burdens on employers and workers. With workers’ wages growing at a much slower pace than health care costs, many face difficulty in affording out-of-pocket spending.

    Government programs, such as Medicare and Medicaid, account for a significant share of health care spending, but they have increased at a slower rate than private insurance. Medicare per capita spending has grown at a slightly lower rate, on average, than private health insurance spending, at about 6.8 vs. 7.1% annually respectively between 1998 and 2008. Medicaid expenditures, similarly, have grown at slower rate than private spending, though enrollment in the program has increased during the current economic recession, which may result in increased Medicaid spending figures soon.


    U.S. Health Care Costs: Background Brief
  16. Real World

    Real World Moderator Staff Member

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    Um, since 1999? A lot has gone up 131% since 1999.


    The underlying point here, is that this bill is horrible. It's ok, cuz it was intended to be horrible, so that it would eventually fail, and X number of years from now, the gubmit could move in NHS style. Nice!
  17. Harry Boy

    Harry Boy Look Up, It's Amazing PatsFans.com Supporter

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    Has Anybody Got Free Health Care Yet
    Can We Get Heart Surgery For Nothing Now
    What About Free Dental
    Does The "Jug Ears Free Health Care" Cover Dental
    Can I Get A Free Physical Now
    Where Can I get A Free Vasectomy
    Can Poor People Get Free Hips And Knees Now
    Put Signs In Front Of Hospitals (Everything Free)

    CHRIST HAS RISEN
  18. Mrs.PatsFanInVa

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    #12 Jersey

    Harry, you're on Medicare - you already get all of those things for "free." In fact you get them cheaper than most people are going to have to pay to get them for what you keep calling "free" even though it isn't going to be "free," at all. People are going to have to get insurance, just like you have insurance - and they are going to have to pay for that insurance, but at a higher rate than you, being on a government sponsored and run plan, have to pay for it.

    The only difference is that now they are going to be able to pay for it at all - because the insurance companies will no longer be able to arbitrarily turn them down or throw them out.

    All you're really doing is screaming in ALL CAPS that you don't want people to pay more for insurance than you do.
  19. DarrylS

    DarrylS PatsFans.com Supporter PatsFans.com Supporter

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    The stuff posted was from a paper from George W.

    I agree with Tort Reform, as do most people, but as just about all suits take place in State Courts it is a states rights issue.. imagine the conundrum and hysteria if Obama wanted to infrindge on states rights..

    BTW Texas instituted tort reform.. works well for the Ins Companies, ins rates are down. for Doctors . but so far there has been no impact on the consumer premiums..
    Last edited: Apr 10, 2010
  20. Harry Boy

    Harry Boy Look Up, It's Amazing PatsFans.com Supporter

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    I'm speaking for "poor young people" I love Medicare.

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