Comments on: Covered CA facing 2015 adjustments

By: Itachee

Itachee — Thu, 22 Jan 2015 16:10:26 +0000

On a related front, last week the Fresno Bee ran a lengthy article about how OCare has lead to MediCal patients flooding the ERs at local hospitals. Why? The reimbursement rate to doctors is already so low most doctors won’t see MediCal recipients and those few that do have weeks long waiting lists. So just imagine what happens when the reimbursement rates goes down evern more. The major increase in Medicare patients going to the ER is compounded by the fact that many of those people are going there for non emergency issues more appropriately dealt with at a doctor office or clinic. In short the ERs are seriously overloaded with one person interviewed stating she had a 10 hour wait to see someone about a worsening infection.

By: Bill Gore

Bill Gore — Wed, 21 Jan 2015 05:02:24 +0000

Yep-CLASSIC bait and switch (gracias a Tesla). Nuthin ‘affordable’ about this care act. My advice remains: if you don’t have full ride insurance thru work then simply effing blow it off or get on medicaid and blow it off. Do not pay premiums, screw the penalty. Do as the sin documentos do: show up sick at the ER and demand full treatment. You will get it. This scam is so absurd it HAS to be designed to fail. And yes, we really should have a full soviet single payer plan for everyone. Take away DARPA and the NSA budget, cut the carlysle group’s budget (er, I mean ‘defense’)by some small percentage, saving trillions, and use it to treat the millions of morbidly obese depressed americans who are always running to the f**ing doctor. This country has degenerated beyond recognition.

By: Queeg

Queeg — Wed, 21 Jan 2015 03:49:07 +0000

Comrades

What’s fair?

1/3 of state residents on MediCal!

Alarming-

By: Tesla_x

Tesla_x — Wed, 21 Jan 2015 01:14:52 +0000

Bait n switch.

Pure and simple.

Better to pay the fine/tax than to have another mortgage payment and double the deductible you had 2 years ago.

And what of the low income or no income types?

Then they get dinged for a small single digit percentage of their income.
Still cheaper to opt out of a criminal scam (with magically legalized kickbacks to the bozos who wrote the ‘law’) masquerading as a health plan.

So what happens if your reportable income is ZERO and you opt out? You don’t file.

What are they gonna do?

By: Sean

Sean — Wed, 21 Jan 2015 00:00:43 +0000

Anyone with any kind of health insurance needs to be very concerned about low federal and state reimbursement rates. Healthcare providers and insurance companies have become transfer payment agents to subsidize underfunded promises made by politicians. The discounts demanded by MediCal or Medicaid will be made up through billings to those with private insurance coverage.