WFFaithful
Well-known member
Trump will not reopen Obamacare marketplace.
I mean it's not considered Revenue you only consider Revenue what you actually charge.I suspect these are huge tax write-offs for the providers. The $5300 gets written off for taxes. Not sure though. Can someone confirm?
Here is some what Medicare paid for MRI's six years ago:
https://apsmedbill.com/whitepapers/reduced-mri-payments-are-impacting-private-practices
So Medicare for All does break the provider price gouging, but brings government (Trump at government's worst) into healthcare.
A law setting a ceiling of twice Medicare would still make this MRI $430 if your insurance didn't negotiate any discount at all.
This would make health insurance about as affordable as car insurance. Most people have car insurance and maintain that outside their employment.
Now, for those without insurance, providers will not negotiate for any relief. They are happy to sell that $11k MRI for $.10 on the dollar - they'd still get more than Medicare. That's how out of whack their pricing is.
It's pretty simple, Cousin Eddie, we simultaneously want a better system AND better leadership for that system. We are not trying to put more shit in an already full RV shitter, we want indoor plumbing and a descent plumber.
That’s like saying there’s some conflict between saying “Wake Forest should have a good basketball program” and “Wake Forest doesn’t have a good basketball program.”
Can you imagine being dumb enough to see that meme, laugh, and then share it? I guess you’d have to be dumb enough to believe government is ineffective while voting for the people who keep it ineffective.
I wonder how payers (health insurance companies) will do with this. There are severe cases and hospitalizations adding to cost. However, there is a much higher volume of (lower cost) visits deferred/cancelled and visits done for free via patient portals and telephone.
A lot of phone and other virtual visits are being billed and reimbursed like in-person visits. But overall, you’re correct that there are fewer total visits.
The biggest financial change is the drastic decrease in elective, high-reimbursing surgical procedures.
Nope. Pretty much all phone visits up to this point have been free. There is now approval of billing codes for phone visits. We will see how that gets reimbursed when the payers actually start paying. Video visits are still inefficient. There can be significant time investment to help patients access video visits. This isn’t Skype, or some other unsecured means of communication that just requires 2 people seeing/hearing each other. Billing is also not the same. I’m billing pretty much all of my video visits down a level because physical exam is limited. Some (especially older) patients decline the video visits. The get a free call from me. So, no, it’s not like in-person visits.
Nope. Pretty much all phone visits up to this point have been free. There is now approval of billing codes for phone visits. We will see how that gets reimbursed when the payers actually start paying. Video visits are still inefficient. There can be significant time investment to help patients access video visits. This isn’t Skype, or some other unsecured means of communication that just requires 2 people seeing/hearing each other. Billing is also not the same. I’m billing pretty much all of my video visits down a level because physical exam is limited. Some (especially older) patients decline the video visits. The get a free call from me. So, no, it’s not like in-person visits.
Yep
Most (I suspect) provider systems are losing money hand over fist.
Already hearing about staff reductions, pay cuts, etc.
Gonna get worse, probably.
Nope. Phone and video reimburse the same as of the second CMS change last week, and phone billing started March 6. Billing is based on time. I’d be happy to dm if you have questions.