Health execs' suggested changes to Me...

Health execs' suggested changes to Medicaid criticized

There are 13 comments on the TwinCities.com story from Jan 31, 2011, titled Health execs' suggested changes to Medicaid criticized. In it, TwinCities.com reports that:

A plan by insurance company and hospital executives to slash the state's Medicaid budget drew fire Monday from advocates for people with disabilities who called the proposal a self-serving money grab.

Join the discussion below, or Read more at TwinCities.com.

In a perfect world

United States

#1 Feb 1, 2011
In a perfect world we'd be able to food, clothe, house and provide free medical care to everyone. Why should someone with a disability get all this on the taxpayers dollar when millions don't have basic health care?
confused

Irving, TX

#2 Feb 1, 2011
this sounds like socialized medicine - healthcare all for it when they get the business - how about this - the program is administered by the state and paid out at Medicare rates not negotiated hospital rates?
pim

Saint Paul, MN

#3 Feb 1, 2011
In a perfect world wrote:
In a perfect world we'd be able to food, clothe, house and provide free medical care to everyone. Why should someone with a disability get all this on the taxpayers dollar when millions don't have basic health care?
Why should managed care get to make a profit off of taxpayer dollars?
Leprechaun

Minneapolis, MN

#4 Feb 1, 2011
Take a look at the pay package for the upper execs at United Health Care. Absolutely obscene when you think how many folks can't afford a clinic visit.
Thelma

New Ulm, MN

#5 Feb 1, 2011
Aaahhh… If I was only lazy, fat, drunk, on drugs and couldn't work, or just didn't speak English, I would have better insurance than I do now. The sad thing is, you know it’s true! Go to any ER or clinic and see the type of people present medicaid as their insurance. Disabled my Ass!
curious

Minneapolis, MN

#6 Feb 1, 2011
Thelma wrote:
Aaahhh… If I was only lazy, fat, drunk, on drugs and couldn't work, or just didn't speak English, I would have better insurance than I do now. The sad thing is, you know it’s true! Go to any ER or clinic and see the type of people present medicaid as their insurance. Disabled my ****!
How do you know who presents "medicaid" as their insurance?
Thelma

New Ulm, MN

#7 Feb 1, 2011
curious wrote:
<quoted text>
How do you know who presents "medicaid" as their insurance?
I've been in to see a Dr. several times in the last 6 months with my father-in-law. I’ve never been in a waiting room for less than an hour and a half and hear a great deal of information as people are talking at the desk next to me. I just wish the receptionist wouldn't ask "what do you need to be seen for" to the walk-ins, some real zingers! The subject of the insurance comes up often. I have seen several that are proud to explain their welfare insurance.
PB in St Paul

Saint Paul, MN

#8 Feb 1, 2011
Cut the state's health care costs? Start with the execs of all these "providers".
Oregon Is Disgusting

United States

#9 Feb 1, 2011
In a perfect world wrote:
In a perfect world we'd be able to food, clothe, house and provide free medical care to everyone. Why should someone with a disability get all this on the taxpayers dollar when millions don't have basic health care?
We have more than enough resources to do this.

We can save 30% of our healthcare costs by going to single payer.

There is NO REASON, not one, for any health insurance scumbag banksters corporation to exist when he have the highly efficient Medicare system.

Outlaw private health insurance companies and cut YOUR health care costs and that of your employer's by 30%. This is what true capitalists do.
Oregon Is Disgusting

United States

#10 Feb 1, 2011
True capitalists reward the efficient. Only the highly corrupt right wing protects the bloated, inept, over priced and under performing as they did the BANKSTERS of Wall Street scumbags.

Since: Jun 10

United States

#11 Feb 1, 2011
Oregon Is Disgusting wrote:
<quoted text>
We have more than enough resources to do this.
We can save 30% of our healthcare costs by going to single payer.
There is NO REASON, not one, for any health insurance scumbag banksters corporation to exist when he have the highly efficient Medicare system.
Outlaw private health insurance companies and cut YOUR health care costs and that of your employer's by 30%. This is what true capitalists do.
Absolutely! Get rid of these companies who create paperwork nightmares and profit off of denying health care. We stood outside the emergency room waiting for insurance approval to treat sepsis. The insurance company still tried to deny the bill even after approving the treatment.
Oregon Is Disgusting

United States

#12 Feb 1, 2011
Tee Hee wrote:
<quoted text>
Absolutely! Get rid of these companies who create paperwork nightmares and profit off of denying health care. We stood outside the emergency room waiting for insurance approval to treat sepsis. The insurance company still tried to deny the bill even after approving the treatment.
Denying payment is procedure for health insurance scumbag banksters. It is no different than having your credit card company run your health care. They are all just banks in different guises.

They deny, deny, deny, etc. X number of times per procedure before they pay. They not only get float but they also have some people giving up before they have to pay up.

I do not see how waiting for insurance approval for a medically approved procedure is NOT practicing medicine without a license. You and your family's health is in the hands of the same inept, corrupt, greedy, insane idiots who trashed the mortgage market.

http://the8thdimension.blogspot.com/2009/07/b...

"The average family doesn't understand how Wall Street's dictates determine whether they will be offered coverage, whether they can keep it, and how much they'll be charged for it. But, in fact, Wall Street plays a powerful role. The top priority of for-profit companies is to drive up the value of their stock.

Stocks fluctuate based on companies' quarterly reports, which are discussed every three months in conference calls with investors and analysts. On these calls, Wall Street investors and analysts look for two key figures: earnings per share and the medical-loss ratio, or medical "benefit ratio," as the industry now terms it. That is the ratio between what the company actually pays out in claims and what it has left over to cover sales, marketing, underwriting and other administrative expenses and, of course, profits.

To win the favor of powerful analysts, for-profit insurers must prove that they made more money during the previous quarter than a year earlier and that the portion of the premium going to medical costs is falling. Even very profitable companies can see sharp declines in stock prices moments after admitting they've failed to trim medical costs.

I have seen an insurer's stock price fall 20 percent or more in a single day after executives disclosed that the company had to spend a slightly higher percentage of premiums on medical claims during the quarter than it did during a previous period. The smoking gun was the company's first-quarter medical loss ratio, which had increased from 77.9% to 79.4% a year later. "
Zeus

Chicago, IL

#13 Feb 3, 2011
This is why the issues with health care costs increasing are far larger than the "villainous" insurance companies and why the Affordable Care Act is doomed to fail in its core mission - reducing overall health care costs. Bottom line, nobody wants to incur a change so we'll blame the insurers. For example, lawyers lobbied the current administration successfully to keep medical liability ridiculously uncapped significantly impacting defensive medicine and thus increasing costs (and thus rates). Doctors are still allowed to own radiology centers to whom they can self refer patients foer expensive MRIs, again driving up rates. The primary method of reimbursement remains fee for service - which encourages doctors and hospitals to submit bills instead of curing the patient - which by the way should be the goal of a primary care physician like identified above. Lastly, like this article points out, the patients refuse to change their "wants" to drive down the overall cost of care. Americans are far fatter than they were 20 years ago driving up healtch care costs - but dare we charge obese people more for their insurance like we charge bad drivers more for their insurance? No. This article shows it boils down to "anybody but me, even if I use a disporporttionate amonubt of care dollars". Sad.

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