Obamacare, what could go wrong? - page 6

"Let me get this straight . . . We're going to be "gifted" with a health care plan we are forced to purchase and fined if we don't, which purportedly covers at least ten million more people,... Read More

  1. by   tntrn
    [quote=fnp2b1;6661973][font=helvetica neue]just last week, california medical association filed a petition with cms asking that corrective action be taken to address current reimbursement rates and access standards.[font=helvetica neue] [font=helvetica neue]“what we’re seeing now, is that medi-cal patients are already having a tough time getting access to care,” james t. hay, m.d., cma president said. “with these cuts, physicians will only be reimbursed $11 per medi-cal patient visit, when it costs the physician several times that to provide. physicians will be forced to reduce the number of medi-cal patients they accept, if they can continue to see any at all. we want to be able to treat these patients and we regret that the federal government is making it impossible.”like i said earlier.....just because all of these people now have obamacare doesn't mean anybody is going to treat them. i know i'm not for $9,35 for an office visit. nps get paid 85% of what a md does for an office visit.obamacare alienates providers. [font=helvetica neue]

    that's just pathetically criminal.
  2. by   MunoRN
    Quote from FNP2B1
    It is low. California has one of the lowest Medicaid reimbursement rates in the country. The majority of Medicaid patients are illegal immigrants. How they get Medicaid I will never know.

    $15 is what the NP gets paid. The MD's get paid $18. The patients have a $5 co pay which most never pay. All of their prescription drugs cost them $1.20. That is their copay. Pretty sweet deal....better than what I pay for prescription drugs.

    If one has ever wondered why California has billions of dollar of debt and is on the verge of bankruptcy.....here is one reason why.
    Low reimbursement rates for primary care pre-dates obamacare. Obamacare actually increases reimbursement rates for both MD and NP primary care providers. It should have been more than the 10% increase that was in the final bill, but like the inclusion of the individual mandate there were too many concessions to the GOP reform platform, which in terms of medicare/medicaid included cuts and a switch to a fixed budget, which means no reimbursement at all for the remainder of the fiscal year after the budget is exhausted.
  3. by   tntrn
    Ooh, i bet that extra $1.50 makes FNP2B1 feel waaay better.
  4. by   MunoRN
    Quote from SC_RNDude
    "Death Panels"....a overly dramatic term. But yes, a team of gov't administrators is going to make cookie-cutter policies regarding healthcare. You already see Medicare taking healthcare decisions out of patient and doctors' hands. And, how about core measures in hospitals? Physicians have to follow them, or document why they do not, or the hospital doesn't get paid. As gov't healthcare grows, this type of from the top down healthcare is only going to increase.
    The "death panel" actually came about in reference to a proposal to reimburse providers for discussing end of life wishes and filling out POLST's with patient's, which as an ICU nurse my view is that this should not only be reimbursed, but mandatory.

    Core measures don't actually come from government administrators, they come from reliable EBM sources such as Cochrane and professional practice organizations such as the AMA and ACC/AHA. CMS refers to these EBM principles to define what they expect for their (our) money. Core measures represent the basic things that should be expected of someone billing for the treatment of certain condition. It's like saying if you're going to pay someone for building you a house, it should include a roof and walls, do you really think that's unreasonable?
  5. by   MunoRN
    Quote from tntrn
    Ooh, i bet that extra $1.50 makes FNP2B1 feel waaay better.
    So you support raising reimbursements even more? I never would have pegged you as a democrat tntrn.
  6. by   tntrn
    Quote from MunoRN
    So you support raising reimbursements even more? I never would have pegged you as a democrat tntrn.
    You are at least correct on that....not a Democrat although i have a couple of moderate viewpoints. My comment was sarcasm, pure and simple.
  7. by   BlueDevil,DNP
    Whoa now, the Medi-Cal debacle goes back to when Obama was about a high school sophomore, lol. Honestly, I don't know when it began or whom is responsible, but I do know that my uncle, whom retired from practicing medicine in California over 10 years ago, had to sue the state for 20 years of back pay from Medi-Cal. He won a very large judgement but he still hasn't been paid because the state treasury is insolvent. What a cluster. He basically worked for free for 20 years! He doesn't blame Obama, rather for some reason he thinks it is Schwarzenegger's fault.
  8. by   FLmomof5
    MunoRN....thanks for the link.... I will review. I *DID* search both via google and yahoo and NO, I could not find a link with more than 900 and change pages.
  9. by   tntrn
    Breitbart News: 404 - Not found of what can go wrong.
  10. by   FLmomof5
    I saw a post on another site that I originally posted that contained the following "alleged facts" regarding Obamacare. I wanted to edit with actual links, but could not immediately substantiate the page/section s as posted. I looked for a considerable time for the actual FULL text of the bill, without success.

    D/T the post on the prev page, I did scan the full text. The page numbers and sections are inaccurate. (no surprise there) However, I did find text that the OP on another site may have been alluding to - only on a different page. To wit, for honesty sake, here is the OP post in it's entirety:
    "Health Bill Highlights

    Page 50/section 152: The bill will provide insurance to ALL" NON -U.S." residents, even if they are here "ILLEGALLY".

    Page 58 and 59: The government will have real-time access to an individual's bank account and will have the authority to make electronic fund transfers from those accounts.

    Page 65/section 164: The plan will be subsidized (by the government) for all union members, union retirees and for community organizations (such as the Association of Community Organizations for Reform Now - ACORN). ** Page 203/line 14-15: The tax imposed under this section will not be treated as a tax. (How could anybody in their right mind come up with that?) ** Page 241 and 253: Doctors will all be paid the same regardless of specialty, and the government will set all doctors' fees. ** Page 272. section 1145: Cancer hospital will ration care according to the patient's age. ** Page 317 and 321: The government will impose a prohibition on hospital expansion; however, communities may petition for an exception. ** Page 425, line 4-12: The government mandates advance-care planning consultations. Those on Social Security will be required to attend an "end-of-life planning" seminar every five years. (Death counseling..) ** Page 429, line 13-25: The government will specify which doctors can write an end-of-life order.

    ** Finally, it is specifically stated that this bill will not apply to members of Congress."


    There is mention of electronic funds transfer on page 66: "ELECTRONIC FUNDS TRANSFERS AND HEALTH CARE PAYMENT AND REMIT TANCE ADVICE.—"
  11. by   tntrn
    Quote from tntrn
    Breitbart News: 404 - Not found of what can go wrong.
    Having iPad issues again. Sorry
  12. by   tntrn
  13. by   NRSKarenRN
    ''patient protection and affordable care act" is now public law no: 111-148
    the entire act can be read

    summary: affordable health care for america act [font=&amp]

    details: public law no: 111-148