Republicans will release their Obamacare bill in private and vote on it before the CBO can score it

http://nymag.com/daily/intelligencer...care-plan.html

A fair number of states have a required designated discount for uninsured patients - in Nevada I think it's 20% above medicaid rates that hospitals/health care systems have NO DISCRETION in giving - in other words, no picking and choosing. And no deciding that you'd like to give 30 or 50%. Interestingly, we were told we could elect to take no payment, but we couldn't discount insurance - I think it has something to do with having to give medicare your "best" rate (ignoring medicaid/Obamacare) and by discounting your charges to an insured patient you could accidently/unintentionally go under what you're billing Medicare.
Hope that kind of makes sense.

MM MD

He may have billed insurance $1,200 but did he get paid that much? Insurance companies and Medicare have clamped down on DME.

The claim said it was paid for, I assume that's true...

Got to pass it to know what's in it.

Is it weird that somebody I know got denied Long Term disability insurance coverage because they have Aspergers?

I gotta say - Trump memes blow away any previous politician's by far. So at least we have that going for us.

As I was saying.

Yeah, its this. Medicare gets most favored nation status or audit-JBT-treble damages/fines/?private prison

Lol

https://twitter.com/JoanAlker1/statu...11027882442752

These people are monsters

Son: Gee Dad, if they cut health care for poor people, what's gunna happen when they get sick?

Dad: Not to worry, son. They'll have health savings accounts.

Son: But Dad, if they're poor, they can't save a lot of money. What if it costs a lot?

Dad: Well son... Hmmm, have I ever told you about bootstraps?

https://twitter.com/KStreetHipster/s...34693024473088

So the Republicans went from wanting age based subsidies which would have shifted the subsidies to the richer and older but suddenly wanted income based subsidies instead. The Federalist explains why

Whoops

http://thefederalist.com/2017/03/06/...e-replacement/

'Access to health care when you need it' and 'insurance' are the same thing, bro.

https://twitter.com/TopherSpiro/stat...18597589958656

Black people: Hey losers, get off drugs and start pulling on those bootstraps.

Whites on heroin: Oh you poor babies! The Democratic establishment did this to you didn't they? Daddy can fix all your problems.

Don't kid yourself. If you can't afford to go the Betty Ford route, the availabilty of any sort of inpatient detox for ANYTHING is pretty much zero.

We have one facility in town that has (I think) 16 beds. Since they have no EMTALA responsibility, they can pick and choose patients, and you need better insurance than I have to get in. Rumor has it that there's a brand name outfit opening up a 60+ bed unit next year, but they're going to be just as selective.

So the white heroin users get the same absence of services as black ones. I don't have anywhere to send either group. I can't speak to the color of their bootstraps, respectively.

MM MD

looooooolllllll

the initial house GOP draft eliminates the individual mandate and subsidies

what could go wrong?

My area has better access for Heroin detox than that. When I looked into it, it was a 3 week wait for Medicaid payients and immediate for private insurance.

3 weeks isn't bad for Medicaid. I'm not aware of any availability here, although I think from time to time the private place will take one - but it's very sporadic.

Psych and detox issues (which often travel together) are horribly underserved. I work in an 88 bed ER - when I came off shift last night we had 20 patients waiting for placement. Nowhere for them to go. And that's not an unusual situation. Meanwhile, we have 15 people sitting in the waiting room that we can't bring back.

MM MD

Am I reading it right that Medicaid per person caps are basically another name for block grants?